Shadowing Practice: What Your A1C Numbers Really Mean | Pharmacist Explains - Learn English Speaking with Video
Les maken...
1
But in this video, we will discuss what the A1C test is, why it's called hemoglobin A1C,
2
why it is important, and what lesser known factors can raise a person's A1C.
3
I will also explain how this test is different from your EAG, or estimated average blood glucose,
4
and how you can calculate that on your own using a very simple tool.
5
The hemoglobin A1c test is a relatively simple blood test
6
that tells you a lot about your blood glucose or blood sugar control for the past two to three months.
7
So what does hemoglobin A1c mean anyways?
8
Hemoglobin is a protein that is found in your red blood cells.
9
In fact, the healthy adult human body makes about 2 million new red blood cells every second
10
and that requires a lot of hemoglobin.
11
Now, there are various types of hemoglobin, with Hgba1 being the most common,
12
making up about 98% of Hgba.
13
The A in Hgba stands for adult, and after about 6 months of age, nearly all hemoglobin is type A.
14
Type A1 has subtypes, A1A, A1B, A1C, and others, with A1C being the most prevalent.
15
Hemoglobin A1C, or HGBA1C, is significant because it is hemoglobin with sugar attached to it.
16
The hemoglobin on your red blood cells has the job of
17
carrying oxygen from the lungs to all the cells of the body.
18
Glucose also enters your red blood cells and links up or glycates with molecules of hemoglobin.
19
The more glucose in your blood, the more hemoglobin gets glycated.
20
When hemoglobin is glycated, it stays that way until the red blood cell dies, which has an average lifespan of three to four months.
21
Therefore, your A1C level indicates your average glucose levels over the last few months, making it an excellent marker for glucose control.
22
There are some instances, however, in which this test may be somewhat misleading.
23
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.
24
So your A1c may be lower, as a higher percentage of hemoglobin may not yet be glycated.
25
Or, if you have anemia, such as iron deficiency anemia, you usually have less hemoglobin, and because there is less hemoglobin,
26
it is likely that the hemoglobin you do have may be heavily glycated, thus leading to a higher A1c result.
27
Finally, those with kidney disease may also have a higher A1c than it really is because of anemia and other factors.
28
Kidney disease can also read falsely low because blood cells aren't lasting long enough to become glycated in people with kidney disease.
29
This is important because people with diabetes can often have kidney disease as well.
30
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,
31
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.
32
Now, the American Diabetes Association suggests that your doctor should measure your A1C level at least twice a year.
33
So what should your numbers be?
34
When it comes to numbers, there's no one-size-fits-all target.
35
The goal for most adults with diabetes is an A1C that is less than 7%.
36
According to the American and Diabetes Association, if your A1C level is between 5.7 and less than 6.5%,
37
your levels have been in the pre-diabetes range.
38
If you have an A1C level of 6.5 percent or higher, your levels are in the diabetes range.
39
A1C target levels can vary by each person's age and other factors, and your target may be different from someone else's.
40
Another important term that you may come across when finding out your A1C is EAG, or estimated average glucose.
41
EAG is similar to what you see when monitoring your blood glucose at home on your meter.
42
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.
43
I will include a link to a calculator you can use
44
to convert your A1C to an estimated average blood glucose number in the description of this video.
45
Now remember that your A1C target is your own.
46
You are unique and you need advice based on your own set of circumstances.
47
A1C targets often change over time, sometimes decreasing and sometimes increasing.
48
It all depends on the person and on the particular circumstances of that person.
49
If you have found this information helpful, leave a comment and be sure to like and subscribe for more videos
50
that help you better understand and advocate for your health.
51
Thank you for joining me take care and stay healthy bye
✨ Aanbevolen Video
C146 zinnen
A1C Test for Measuring Blood Sugar Levels
Daily ConversationUniversity StudentsWorking Adults
B21
137 zinnen
Why your anti aging routine is not working ?
Daily ConversationUniversity StudentsWorking Adults
B2238 zinnen
Your Top Coronavirus Questions Answered - CNN Newsroom with Fredricka Whitfield
Business EnglishDaily ConversationUniversity Students
B23
152 zinnen
Your Blood Type is Deciding How You Die (The Science)
Daily ConversationUniversity StudentsWorking Adults
B21
39 zinnen
Hepatitis C: You Deserve a Cure
Daily ConversationUniversity StudentsWorking Adults
B21
93 zinnen
What Happens To Your Body When You Don't Eat (Fast)
Business EnglishDaily ConversationUniversity Students
B23
24 zinnen
Vitamin D Testing Challenges
American AccentDaily ConversationUniversity StudentsWorking Adults
B11
26 zinnen
Acupuncture 101: Benefits and Procedure | WebMD
Daily ConversationUniversity StudentsWorking Adults
B22
242 zinnen
What's REALLY Your English Level? (Not What You Think)
American AccentDaily ConversationUniversity StudentsWorking Adults
B11
8 zinnen
And the more glucose spikes we have.... The more glycation happens. And the faster we age #glycation
Daily ConversationUniversity StudentsWorking Adults
B25
46 zinnen
What is Public Health? Episode 1 of "That's Public Health"
Daily ConversationUniversity StudentsWorking Adults
B244 zinnen
Dr. Halstead’s Patient Want More Tests Than Halstead Thinks Are Necessary | Chicago Med | NBC
Daily ConversationUniversity StudentsWorking Adults
Woordenschat en spreektips bij deze les
Deze spreekles op niveau B2 is gebaseerd op de video “What Your A1C Numbers Really Mean”. Deze woorden komen het vaakst terug: hemoglobin, blood, glucose, cell, diabetes. Deze video bevat 51 zinnen en 826 woorden om na te spreken. Het gesproken deel duurt 5:12. De spreker praat in een natuurlijk tempo van ongeveer 159 woorden per minuut, dicht bij een alledaags gesprek. Slechts 79% van de woorden hoort bij de 3.000 meest gebruikte Engelse woorden, dus de woordenschat is pittig.
Belangrijke woorden in deze video
De 15 moeilijkste woorden uit de video, met uitspraak en betekenis:
| Woord | Uitspraak | Betekenis |
|---|---|---|
| glucose zelfstandig naamwoord | /ˈɡluː.kəʊz/ | glucose, druivensuiker |
| diabetes zelfstandig naamwoord | /ˌdaɪəˈbiːtiːz/ | diabetes, suikerziekte |
| kidney zelfstandig naamwoord | /ˈkɪdni/ | nier |
| anemia zelfstandig naamwoord | /əˈnimi.ə/ | anemie, bloedarmoede |
| circumstance zelfstandig naamwoord | /ˈsɝ.kəmˌstæns/ | omstandigheid |
| metre zelfstandig naamwoord | /ˈmiːtəɹ/ | meter |
| diabetic bijvoeglijk naamwoord | /daɪəˈbɛtɪk/ | diabetisch |
| mislead werkwoord | /mɪsˈliːd/ | misleiden |
| calculator zelfstandig naamwoord | /kæl.kjə.leɪ.tɚ/ | rekenmachine, zakrekenmachine |
| falsely bijwoord | valselijk | |
| deficiency zelfstandig naamwoord | /dɪˈfɪʃənsi/ | tekort |
| molecule zelfstandig naamwoord | /ˈmɑ.lɪ.kjul/ | molecuul |
| attach werkwoord | /əˈtæt͡ʃ/ | vastmaken |
| prevalent bijvoeglijk naamwoord | /ˈpɹɛvələnt/ | heersend, wijdverspreid |
| calculate werkwoord | /ˈkælkjʊleɪt/ | berekenen, uitwerken |
Phrasal verbs die je zult horen
| Woord | Betekenis |
|---|---|
| come across werkwoord | overkomen |
| find out werkwoord | ontdekken, onderzoeken |
Grammatica in deze video
De structuren die de spreker het meest gebruikt, met de exacte woorden uit de video:
| Structuur | In de video |
|---|---|
| Present perfect have/has + voltooid deelwoord — iets uit het verleden dat nu nog telt | have experienced · have been · have found |
| Lijdende vorm be + voltooid deelwoord — het gaat om wat er gebeurt, niet om wie het doet | is found · is glycated · be glycated |
Uitspraak om op te letten
- Lange woorden — let op de klemtoon: hemoglobin /ˌhimoʊˈɡloʊbɪn/, anemia /əˈnimi.ə/, calculator /kæl.kjə.leɪ.tɚ/, deficiency /dɪˈfɪʃənsi/
Klanken die Nederlandstaligen lastig vinden:
- Stemhebbende eindmedeklinker — /b/, /d/, /g/, /z/, /v/ niet verscherpen: glucose /ˈɡluː.kəʊz/, diabetes /ˌdaɪəˈbiːtiːz/, mislead /mɪsˈliːd/, subscribe /səbˈskɹaɪb/, anyways /ˈɛn.iˌweɪz/
- /æ/ — opener dan de Nederlandse “e”: circumstance /ˈsɝ.kəmˌstæns/, lifespan /ˈlaɪf.spæn/, calculator /kæl.kjə.leɪ.tɚ/, attach /əˈtæt͡ʃ/, calculate /ˈkælkjʊleɪt/
- /g/ — een harde plofklank, geen Nederlandse “g”: hemoglobin /ˌhimoʊˈɡloʊbɪn/, glucose /ˈɡluː.kəʊz/
Zo oefen je met deze video
- Luister de hele video één keer zonder te spreken en noteer de woorden die je niet kent.
- Begin op 0,75× snelheid, spreek zin voor zin na en ga terug naar normale snelheid zodra het makkelijk gaat.
- Neem jezelf op en vergelijk met het origineel; let daarbij op woorden als glucose, diabetes, kidney.
Wat is de Shadowing-techniek?
Shadowing is een wetenschappelijk onderbouwde taalleermethode die oorspronkelijk is ontwikkeld voor professionele tolkentraining en gepopulariseerd door polyglot Dr. Alexander Arguelles. De methode is eenvoudig maar krachtig: je luistert naar native Engelse audio en herhaalt het onmiddellijk hardop — als een schaduw die de spreker volgt met slechts 1–2 seconden vertraging. In tegenstelling tot passief luisteren of grammaticadrills, dwingt shadowing je hersenen en mondspieren om echte spraakpatronen tegelijkertijd te verwerken en te reproduceren. Onderzoek toont aan dat het de uitspraaknauwkeurigheid, intonatie, ritme, verbonden spraak, luisterbegrip en spreekvaardigheid aanzienlijk verbetert — waardoor het een van de meest effectieve methoden is voor IELTS Speaking-voorbereiding en echte Engelse communicatie.