Hgb A1c Levels

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Diabetes And The Hemoglobin A1c Test

Walter L. Aument Family Health Center The hemoglobin A1c ("A-one-C") test is a blood test used in the care of people who have diabetes. The hemoglobin A1c percentage is a way of looking at your average blood sugar control over a period of 3 months. Sugar absorbed from your digestive system circulates in the bloodstream. When the blood sugar is high, the sugar attaches to the hemoglobin protein in red blood cells, forming hemoglobin A1c. Red blood cells live 90 to 120 days. This means that once sugar has combined with the hemoglobin in red blood cells, the hemoglobin A1c stays in the blood for 90 to 120 days. This means the amount of hemoglobin A1c in your blood reflects how often and how high your blood sugar has been over the past 3 months. Hemoglobin A1c is an excellent way to check how well you are controlling your blood sugar over a 3-month period. Hemoglobin A1c measurements are important because: They confirm your daily home blood sugar monitoring results. They help predict your risk of diabetic complications. The higher the hemoglobin A1c percentage, the greater the risk of developing diabetic eye, kidney, cardiovascular, and nervous system disease. No preparation is necessa Continue reading >>

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Popular Questions

  1. Yau Teng Yan

    As Liang-Hai and the other answerers have shared, a haemoglobin A1c of 5.5% is considered ‘normal’ based on most clinical guidelines. The American Diabetes Association (ADA) considers an A1c of >5.6% to be prediabetes.
    I would add a few more points:
    The cut-off A1c and glucose levels for diagnosing prediabetes and diabetes are arbitrary levels defined by scientists and doctors. These may change over time as we understand diabetes as a disease better (there’s still so much we’re learning about it). The important thing to realise is that in reality the progression from normal -> prediabetes -> diabetes is a continuous spectrum, and not a categorical progression. I remember an interview with a world-famous endocrinologist, and when asked what he would want his own A1c to be ideally, he said it was 5.0%.

    There is a margin of error for the A1c blood test (particularly if you used a home A1c test kit), and the result can be affected by other medical conditions such as anemia. If you had a fasting glucose blood test done, that would be useful in determining where you are.

    If you’d like to understand more about A1c is and what it means to you, I’ve written my thoughts here - A1c Calculator & All you need to know about A1c

  2. Liang-Hai Sie

    It is normal.
    From Hemoglobin A1c Testing

    The reference range for healthy adults is 4.8–5.9%
    From https://www.researchgate.net/pro...

    A single A1C measurement served as the reference method and was used to define two levels of dysglycemia, ≥5.7% (39 mmol/mol) and ≥6.0% (42 mmol/mol), and type 2 diabetes, ≥6.5% (47.5 mmol/mol)
    From https://www.researchgate.net/pro...

    there is some controversy surrounding HbA1c-defined prediabetes ranges, with some favouring 6.0 – 6.4% (42 - 46 mmol/mol)
    So however so define prediabetes, your HBA1c value of 5.5% is wholly normal.

    Who told you “it is moving towards diabetes”, what qualifications does this person have medically speaking?

  3. Mohit Adhikary

    No way this is moving towards diabetes. HbA1c is the new marker for Diabetes, but your level is under the permissible limits. Since the no of cases of diabetes is cropping up, and even 10 year old presenting its symptoms, HbA1c is a prognostic tool to access the level of sugar 90-120 days prior to the current date. Keep calm and relax, your's is under the prescribed level. If you feel that you might have diabetes, monitor these things in 24 hours, and then consult your doctor. He is a your best friend you see.
    1. The amount of water that you're consuming. Keep it between 2-2.5 liters if you have a sedentary lifestyle. Or are you consuming more?
    2. How frequently are you hungry, do you keep hungry for long time, or is there craving for food in shorter duration?
    3. Most important of all how frequently do you void yourself, see that it is not more than 6-8 times a day. Is it more?
    You might be having diabetes if answer to any of the questions above is yes. You can then get your fasting sugar (overnight fasting of 8 hours) checked and repeat the test after 15 days. If the both the levels remain above 126mg/dl, then you might have diabetes.

    Discover yourself. All the best!

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