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JP is correct. Hemoglobin A1C's need to be done every 3 months as JP's experience suggests.

Target organ damage really starts to take off right above 6%, however, it increases markedly at 7% and thus the recommendation for under 7%. The lower the better as long as you're not getting frequent sugars in the 50's and 60's.

If you don't have a hang-up about taking medicine, and a lot of people do, you might ask your doctors about being started on a statin (Lipitor, Zocor, Pravachol, etc.) for primary prevention of heart disease. Statins also seem to lower the C-reactive protein - CRP - that is strongly correlated with higher risk of heart disease, though the cause and effect mechanism isn't yet known. Talk to your doc about side-effects like elevated liver tranaminases (always checked for because of seriousness but rare), and myopathy or intense muscle aches that indicate muscle break down which can occur with these drugs.

ab - I take Lipitor myself for primary prevention
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