Hemoglobin A1C Test
- Hemoglobin A1C Test is a blood test that determines the average blood glucose level in a patient over 3 months
- A normal HbA1c is 6% or less
- To calculate average blood glucose levels over 3 months using the HbA1c:
HbA1c level x 30= answer – 60
Example
The HbA1c level is 7.1
7.1 x 30=213 the next step is : 213-60=153
The patient’s average blood glucose level over the last 3 months has been around 153
- The Hemoglobin A1c test is done every 3 months if the patient is on insulin & twice a year if the patient is taking diabetic drugs
- The HbA1c goal for people with diabetes is HbA1c less than 7%.
- The higher the HbA1c, the higher the risk of developing complications related to diabetes.
- Patients with anemia or kidney disease can have false results
Hemoglobin A1C Goals for Type II DM & Pre-DM
Type II DM | Type I DM | Pre-DM | Pregnant Women |
---|---|---|---|
A1C < 7% for adults | A1C < 6% | A1C 5.7 % - 6.4 % | A1C < 6% |
A1C < 8% for older patients |