शैडोइंग अभ्यास: What Your A1C Numbers Really Mean | Pharmacist Explains - वीडियो के साथ अंग्रेजी बोलना सीखें

But in this video, we will discuss what the A1C test is, why it's called hemoglobin A1C,

why it is important, and what lesser known factors can raise a person's A1C.

I will also explain how this test is different from your EAG, or estimated average blood glucose,

and how you can calculate that on your own using a very simple tool.

The hemoglobin A1c test is a relatively simple blood test

that tells you a lot about your blood glucose or blood sugar control for the past two to three months.

So what does hemoglobin A1c mean anyways?

Hemoglobin is a protein that is found in your red blood cells.

In fact, the healthy adult human body makes about 2 million new red blood cells every second

and that requires a lot of hemoglobin.

Now, there are various types of hemoglobin, with Hgba1 being the most common,

making up about 98% of Hgba.

The A in Hgba stands for adult, and after about 6 months of age, nearly all hemoglobin is type A.

Type A1 has subtypes, A1A, A1B, A1C, and others, with A1C being the most prevalent.

Hemoglobin A1C, or HGBA1C, is significant because it is hemoglobin with sugar attached to it.

The hemoglobin on your red blood cells has the job of

carrying oxygen from the lungs to all the cells of the body.

Glucose also enters your red blood cells and links up or glycates with molecules of hemoglobin.

The more glucose in your blood, the more hemoglobin gets glycated.

When hemoglobin is glycated, it stays that way until the red blood cell dies, which has an average lifespan of three to four months.

Therefore, your A1C level indicates your average glucose levels over the last few months, making it an excellent marker for glucose control.

There are some instances, however, in which this test may be somewhat misleading.

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.

So your A1c may be lower, as a higher percentage of hemoglobin may not yet be glycated.

Or, if you have anemia, such as iron deficiency anemia, you usually have less hemoglobin, and because there is less hemoglobin,

it is likely that the hemoglobin you do have may be heavily glycated, thus leading to a higher A1c result.

Finally, those with kidney disease may also have a higher A1c than it really is because of anemia and other factors.

Kidney disease can also read falsely low because blood cells aren't lasting long enough to become glycated in people with kidney disease.

This is important because people with diabetes can often have kidney disease as well.

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,

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.

Now, the American Diabetes Association suggests that your doctor should measure your A1C level at least twice a year.

So what should your numbers be?

When it comes to numbers, there's no one-size-fits-all target.

The goal for most adults with diabetes is an A1C that is less than 7%.

According to the American and Diabetes Association, if your A1C level is between 5.7 and less than 6.5%,

your levels have been in the pre-diabetes range.

If you have an A1C level of 6.5 percent or higher, your levels are in the diabetes range.

A1C target levels can vary by each person's age and other factors, and your target may be different from someone else's.

Another important term that you may come across when finding out your A1C is EAG, or estimated average glucose.

EAG is similar to what you see when monitoring your blood glucose at home on your meter.

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.

I will include a link to a calculator you can use

to convert your A1C to an estimated average blood glucose number in the description of this video.

Now remember that your A1C target is your own.

You are unique and you need advice based on your own set of circumstances.

A1C targets often change over time, sometimes decreasing and sometimes increasing.

It all depends on the person and on the particular circumstances of that person.

If you have found this information helpful, leave a comment and be sure to like and subscribe for more videos

that help you better understand and advocate for your health.

Thank you for joining me take care and stay healthy bye

✨ अनुशंसित वीडियो

46 वाक्य

इस पाठ की शब्दावली और बोलने के सुझाव

यह B2 स्तर का स्पीकिंग पाठ वीडियो “What Your A1C Numbers Really Mean” पर आधारित है। सबसे ज़्यादा दोहराए गए शब्द ये हैं: hemoglobin, blood, glucose, cell, diabetes। इस वीडियो में शैडोइंग के लिए 51 वाक्य और 826 शब्द हैं। बोला गया हिस्सा 5:12 लंबा है। वक्ता लगभग 159 शब्द प्रति मिनट की स्वाभाविक गति से बोलता है, जो रोज़मर्रा की बातचीत के करीब है। केवल 79% शब्द अंग्रेज़ी के 3,000 सबसे आम शब्दों में से हैं, इसलिए शब्दावली कठिन है।

इस वीडियो की मुख्य शब्दावली

वीडियो के 15 सबसे कठिन शब्द, उच्चारण और अर्थ के साथ:

शब्द	उच्चारण	अर्थ
glucose संज्ञा	/ˈɡluː.kəʊz/	ग्लूकोज़, द्राक्षधु
diabetes संज्ञा	/ˌdaɪəˈbiːtiːz/	मधुमेह
kidney संज्ञा	/ˈkɪdni/	गुर्दा
anemia संज्ञा	/əˈnimi.ə/	अरक्तता
circumstance संज्ञा	/ˈsɝ.kəmˌstæns/	परिस्थिति
metre संज्ञा	/ˈmiːtəɹ/	मीटर
mislead क्रिया	/mɪsˈliːd/	बहकाना
calculator संज्ञा	/kæl.kjə.leɪ.tɚ/	परिकलक, कैलकुलेटर
falsely क्रिया विशेषण		झूठमूठ
deficiency संज्ञा	/dɪˈfɪʃənsi/	अभाव, कमी
molecule संज्ञा	/ˈmɑ.lɪ.kjul/	अणु, व्यूहाणु
calculate क्रिया	/ˈkælkjʊleɪt/	गणना करना, हिसाब रखना
lung संज्ञा	/ˈlʌŋ/	फेफड़ा, फुफ्फुस
overview संज्ञा	/ˈoʊ.vɚˌvjuː/	अवलोकन
lesser विशेषण	/ˈlɛsɚ/	लघुतर

इस वीडियो का व्याकरण

वक्ता जिन संरचनाओं का सबसे अधिक प्रयोग करता है, वीडियो के असली शब्दों के साथ:

संरचना	वीडियो में
Present perfect have/has + past participle — बीता हुआ काम जिसका असर अभी भी है	have experienced · have been · have found
Passive voice be + past participle — ज़ोर इस पर कि क्या होता है, न कि कौन करता है	is found · is glycated · be glycated

ध्यान देने योग्य उच्चारण

लंबे शब्द — बलाघात सही रखें: hemoglobin /ˌhimoʊˈɡloʊbɪn/, anemia /əˈnimi.ə/, calculator /kæl.kjə.leɪ.tɚ/, deficiency /dɪˈfɪʃənsi/

हिंदी भाषियों के लिए मुश्किल ध्वनियाँ:

/v/ और /w/ का फ़र्क़ — /v/ में ऊपर के दाँत निचले होंठ को छूते हैं, /w/ में होंठ गोल होते हैं: prevalent /ˈpɹɛvələnt/, anyways /ˈɛn.iˌweɪz/, overview /ˈoʊ.vɚˌvjuː/, convert /kənˈvɝt/
/z/ — इसे “ज” (/dʒ/) न बनाएँ: glucose /ˈɡluː.kəʊz/, diabetes /ˌdaɪəˈbiːtiːz/, anyways /ˈɛn.iˌweɪz/
/æ/ — “ऐ” से ज़्यादा खुला: circumstance /ˈsɝ.kəmˌstæns/, lifespan /ˈlaɪf.spæn/, calculator /kæl.kjə.leɪ.tɚ/, attach /əˈtæt͡ʃ/, calculate /ˈkælkjʊleɪt/

इस वीडियो से अभ्यास कैसे करें

पहले बिना बोले पूरा वीडियो एक बार सुनें और जो शब्द नहीं आते उन्हें लिख लें।
0.75× गति से शुरू करें, एक-एक वाक्य की शैडोइंग करें, और सहज लगने पर सामान्य गति पर लौटें।
अपनी आवाज़ रिकॉर्ड करें और मूल से तुलना करें, ख़ासकर glucose, diabetes, kidney जैसे शब्दों पर ध्यान दें।

शैडोइंग तकनीक क्या है?

शैडोइंग (Shadowing) एक विज्ञान-समर्थित भाषा सीखने की तकनीक है जो मूल रूप से पेशेवर दुभाषिया प्रशिक्षण के लिए विकसित की गई थी। विधि सरल लेकिन शक्तिशाली है: आप मूल अंग्रेज़ी ऑडियो सुनते हैं और तुरंत इसे ज़ोर से दोहराते हैं — जैसे वक्ता की छाया 1-2 सेकंड की देरी से। शोध से पता चलता है कि यह उच्चारण सटीकता, स्वर, लय, जुड़ी हुई ध्वनियाँ, सुनने की समझ और बोलने की प्रवाहशीलता में काफ़ी सुधार करता है।

शैडोइंग तकनीक: पूरी चरण-दर-चरण गाइड पढ़ें →

शैडोइंग अभ्यास: What Your A1C Numbers Really Mean | Pharmacist Explains - वीडियो के साथ अंग्रेजी बोलना सीखें

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