A Target A1c ≠ Stable Blood Sugar A1c targets exist for a reason — they reduce risk at a population level. An A1c under 7 is associated with: - Fewer complications from chronic hyperglycemia - Less aggressive medication dosing that can cause dangerous lows But that number does not tell the full story. A1c is an average.Averages hide variability. You can meet a target A1c and still experience: - Significant post-meal spikes - Wide glucose swings - Stress on blood vessels and nerves True blood sugar control comes from addressing the drivers of those swings — not just lowering the average. When lifestyle inputs are individualized and corrected, both extremes improve: - High blood sugar decreases - The need for aggressive medication correction decreases That’s when control becomes sustainable.