Shadowing Practice: What Your A1C Numbers Really Mean | Pharmacist Explains - Learn English Speaking with Video

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But in this video, we will discuss what the A1C test is, why it's called hemoglobin A1C,
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why it is important, and what lesser known factors can raise a person's A1C.
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I will also explain how this test is different from your EAG, or estimated average blood glucose,
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and how you can calculate that on your own using a very simple tool.
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The hemoglobin A1c test is a relatively simple blood test
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that tells you a lot about your blood glucose or blood sugar control for the past two to three months.
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So what does hemoglobin A1c mean anyways?
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Hemoglobin is a protein that is found in your red blood cells.
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In fact, the healthy adult human body makes about 2 million new red blood cells every second
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and that requires a lot of hemoglobin.
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Now, there are various types of hemoglobin, with Hgba1 being the most common,
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making up about 98% of Hgba.
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The A in Hgba stands for adult, and after about 6 months of age, nearly all hemoglobin is type A.
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Type A1 has subtypes, A1A, A1B, A1C, and others, with A1C being the most prevalent.
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Hemoglobin A1C, or HGBA1C, is significant because it is hemoglobin with sugar attached to it.
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The hemoglobin on your red blood cells has the job of
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carrying oxygen from the lungs to all the cells of the body.
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Glucose also enters your red blood cells and links up or glycates with molecules of hemoglobin.
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The more glucose in your blood, the more hemoglobin gets glycated.
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When hemoglobin is glycated, it stays that way until the red blood cell dies, which has an average lifespan of three to four months.
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Therefore, your A1C level indicates your average glucose levels over the last few months, making it an excellent marker for glucose control.
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There are some instances, however, in which this test may be somewhat misleading.
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For instance, if you have experienced recent blood loss, you will have a lot of new red blood cells that have had less exposure to glucose.
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So your A1c may be lower, as a higher percentage of hemoglobin may not yet be glycated.
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Or, if you have anemia, such as iron deficiency anemia, you usually have less hemoglobin, and because there is less hemoglobin,
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it is likely that the hemoglobin you do have may be heavily glycated, thus leading to a higher A1c result.
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Finally, those with kidney disease may also have a higher A1c than it really is because of anemia and other factors.
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Kidney disease can also read falsely low because blood cells aren't lasting long enough to become glycated in people with kidney disease.
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This is important because people with diabetes can often have kidney disease as well.
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So regardless of whether you are pre-diabetic or have type 1 or type 2 diabetes, or whether you are perfectly healthy, when we think of the hemoglobin A1c test,
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we understand that by measuring the percentage of A1c in the blood, we get an overview of your average blood glucose control for the past few months.
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Now, the American Diabetes Association suggests that your doctor should measure your A1C level at least twice a year.
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So what should your numbers be?
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When it comes to numbers, there's no one-size-fits-all target.
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The goal for most adults with diabetes is an A1C that is less than 7%.
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According to the American and Diabetes Association, if your A1C level is between 5.7 and less than 6.5%,
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your levels have been in the pre-diabetes range.
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If you have an A1C level of 6.5 percent or higher, your levels are in the diabetes range.
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A1C target levels can vary by each person's age and other factors, and your target may be different from someone else's.
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Another important term that you may come across when finding out your A1C is EAG, or estimated average glucose.
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EAG is similar to what you see when monitoring your blood glucose at home on your meter.
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However, because you are more likely to check your blood glucose in the morning and before meals, your meter readings will likely be lower than your EAG.
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I will include a link to a calculator you can use
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to convert your A1C to an estimated average blood glucose number in the description of this video.
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Now remember that your A1C target is your own.
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You are unique and you need advice based on your own set of circumstances.
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A1C targets often change over time, sometimes decreasing and sometimes increasing.
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It all depends on the person and on the particular circumstances of that person.
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If you have found this information helpful, leave a comment and be sure to like and subscribe for more videos
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that help you better understand and advocate for your health.
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Thank you for joining me take care and stay healthy bye

Vocabulario y notas de pronunciación para esta lección

Esta lección de conversación de nivel B2 se basa en el vídeo “What Your A1C Numbers Really Mean”. Las palabras que más se repiten: hemoglobin, blood, glucose, cell, diabetes. Este vídeo tiene 51 frases y 826 palabras para practicar shadowing. La parte hablada dura 5:12. El hablante habla a un ritmo natural de unas 159 palabras por minuto, cercano a una conversación cotidiana. Solo el 79 % de las palabras está entre las 3.000 más comunes del inglés, por lo que el vocabulario es exigente.

Vocabulario clave de este vídeo

Las 15 palabras más avanzadas del vídeo, con su pronunciación y significado:

PalabraPronunciaciónSignificado
hemoglobin sustantivo/ˌhimoʊˈɡloʊbɪn/hemoglobina
glucose sustantivo/ˈɡluː.kəʊz/glucosa
diabetes sustantivo/ˌdaɪəˈbiːtiːz/diabetes, diábetis
kidney sustantivo/ˈkɪdni/riñón
anemia sustantivo/əˈnimi.ə/anemia
circumstance sustantivo/ˈsɝ.kəmˌstæns/circunstancia, tesitura
metre sustantivo/ˈmiːtəɹ/metro
diabetic adjetivo/daɪəˈbɛtɪk/diabético, diabetológico
lifespan sustantivo/ˈlaɪf.spæn/ciclo de vida, ciclo vital
mislead verbo/mɪsˈliːd/desencaminar, despistar
subtype sustantivosubtipo
calculator sustantivo/kæl.kjə.leɪ.tɚ/calculador, calculadora
falsely adverbiofalsamente
deficiency sustantivo/dɪˈfɪʃənsi/deficiencia, déficit
molecule sustantivo/ˈmɑ.lɪ.kjul/molécula

Phrasal verbs que vas a escuchar

PalabraSignificado
come across verbopasarse a
find out verboaveriguar, anoticiarse

Gramática en este vídeo

Las estructuras que más usa el hablante, con las palabras exactas del vídeo:

EstructuraEn el vídeo
Present perfect have/has + participio pasado — una acción pasada que sigue importando ahorahave experienced · have been · have found
Voz pasiva be + participio pasado — importa lo que ocurre, no quién lo haceis found · is glycated · be glycated

Pronunciación a tener en cuenta

  • Palabras largas — cuida el acento: hemoglobin /ˌhimoʊˈɡloʊbɪn/, anemia /əˈnimi.ə/, calculator /kæl.kjə.leɪ.tɚ/, deficiency /dɪˈfɪʃənsi/

Sonidos difíciles para hispanohablantes:

  • /v/ — no es /b/: los dientes tocan el labio inferior: prevalent /ˈpɹɛvələnt/, overview /ˈoʊ.vɚˌvjuː/, convert /kənˈvɝt/
  • /z/ — sonora, no /s/: glucose /ˈɡluː.kəʊz/, diabetes /ˌdaɪəˈbiːtiːz/, anyways /ˈɛn.iˌweɪz/

Cómo practicar con este vídeo

  1. Escucha el vídeo entero una vez sin hablar y anota las palabras que no conoces.
  2. Empieza a velocidad 0,75×, haz shadowing frase por frase y vuelve a la velocidad normal cuando te resulte fácil.
  3. Grábate y compara con el original, prestando atención a palabras como hemoglobin, glucose, diabetes.

¿Qué es la Técnica de Shadowing?

Shadowing es una técnica de aprendizaje de idiomas respaldada por la ciencia, desarrollada originalmente para la formación de intérpretes profesionales y popularizada por el políglota Dr. Alexander Arguelles. El método es simple pero poderoso: escuchas audio en inglés nativo y lo repites en voz alta de inmediato, como una sombra que sigue al hablante con solo 1-2 segundos de retraso. A diferencia de la escucha pasiva o los ejercicios de gramática, el shadowing obliga a tu cerebro y músculos de la boca a procesar y reproducir simultáneamente patrones de habla reales. Las investigaciones muestran que mejora significativamente la precisión de la pronunciación, la entonación, el ritmo, el habla conectada, la comprensión auditiva y la fluidez al hablar, convirtiéndola en una de las metodologías más efectivas para la preparación del IELTS Speaking y la comunicación en inglés en el mundo real.

Técnica de shadowing: lee la guía completa paso a paso →