What Changes They Have Made To The A1c Guidelines
For most adults, the American Diabetes Association currently recommends an A1C of less than 7%, a TIR of over 70%, and a time below the range of less than 4%. In past years, the Standards of Care contained an A1C Testing section that advised diabetics to test their A1C two to four times a year with an A1C target of less than 7%.
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What A1c Goal Should I Have
People will have different A1C targets, depending on their diabetes history and their general health. You should discuss your A1C target with your health care professional. Studies have shown that some people with diabetes can reduce the risk of diabetes complications by keeping A1C levels below 7 percent.
Managing blood glucose early in the course of diabetes may provide benefits for many years to come. However, an A1C level that is safe for one person may not be safe for another. For example, keeping an A1C level below 7 percent may not be safe if it leads to problems with hypoglycemia, also called low blood glucose.
Less strict blood glucose control, or an A1C between 7 and 8 percentor even higher in some circumstancesmay be appropriate in people who have
- limited life expectancy
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Risks Of Chronic High Blood Glucose Level
You already know how to calculate A1c levels, but what should you do with the result? If your level is less than 5.7% congratulations this is a normal A1c level, and you have nothing to worry about. Maintain your healthy habits and keep your blood sugar level low.
If you drifted into the prediabetes group thats a red flag. Youre at a high risk of diabetes, but there is still hope. Check out the How to lower A1c? section for some hints. Do not neglect this result, as chronic high blood sugar levels can lead to severe consequences, including:
- Increased risk of cardiovascular diseases myocardial infarction or brain stroke
- Problems getting pregnant
- Diabetic foot, potentially leading to amputation!
If your A1c level is equal to or higher than 6.5%, you may be diagnosed as diabetic. If this is your result, book an appointment with your doctor immediately!
Conversion From Old Units To New Units
In the past 15 years, to report the results from the glycated hemoglobin test a new unit has been proposed and introduced . Some countries already adopted the new unit in their lab reports, while others still stick to the old unit or use both.
While the results reported are the same, the numbers differ substantially and can create confusion. Here below you can find the conversion table from NGSP to IFCC units.
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Is The A1c Test Accurate For Everyone
Since the A1C test has been made available , is has become a common way to measure glucose control. However, in the last several years some questions have been raised about potential limitations of A1C:
- Is the A1C accurate for everyone?
- It may not be accurate for some people, including people of African-American descent, people with liver and kidney disease, or with some anemias and sickle cell disease.
Why Do People With Diabetes Have An A1c Test
People with diabetes will have an A1C test done in order for their doctor to understand how treatment is working.
A1Cs are not a grade. Rather, they are a way to make sure treatments like, insulin, oral medication, diet and exercise are working as intended.
Your doctor may adjust your treatment based on your A1C. Using the calculator above, however, is not a meaningful way to make treatment decisions on your own.
See your doctor if you believe you need a change in your treatment.
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Roller Coaster: Female Hormones
When a womans hormones change, so does their blood sugar. Keep a monthly record of your levels to get a better idea of how your menstrual cycle affects you. Hormone changes during menopause may make blood sugar even harder to control. Talk to your doctor about whether hormone replacement therapy is a good idea.
What’s Blood Sugar To A1c Conversion Chart
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How To Lower A1c Level
Your doctor will tell you to lower your A1C levels if your test shows they are too high. Here are a few pointers to get you started:
- Consult your doctor about medicine. Make sure youre following the doctors instructions when taking them. Mention any other medications youre taking for different ailments, as they could interact.
- Check your blood sugar levels more frequently and make sure youre using the suitable treatments . If you believe this is a problem for you, seek professional treatment.
- Increase your physical activity. You dont have to train to be an Olympic athlete, but you should strive to include a few short walks in your daily routine. Every step is crucial!
- Attempt to reach and maintain a healthy BMI .
- The BMI is the most fundamental indicator, but you should also consider your waist-hip ratio. A large amount of visceral fat has been related to an increased risk of diabetes and heart disease.
- Maintain a healthy, well-balanced diet. If youre overweight, dont go over your daily calorie restriction, and attempt to eat even less. Say goodbye to processed meals and sweets.
If you follow those recommendations, your hemoglobin A1C levels will almost certainly improve.
A1c To Blood Glucose Conversion Chart
Published: by Charlotte This post may contain affiliate links
Use this A1c conversion chart to get your blood glucose value. See normal values and how to lower your A1C. Learn how to take charge of diabetes care by using diabetes resources and your health care professionals advice.
This article updated with new images and resource links.
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How Do I Lower My Hemoglobin A1c Levels
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What Is Estimated Average Glucose
Estimated average glucose, eAGsummarizes the blood glucose level during the past 3 months.
We obtain it by transforming percentage of HbA1c to eAG value, given either in mg/dL or mmol/L.
Why does the eAG measure exactly 3 past months?
The estimated average glucose range comes from the HbA1c measurements that estimate the amount of the particular protein located within the red blood cells.
The average lifespan of a red blood cell equals 120 days, which is almost 4 months but we must remember that not all the blood cells are being born and die at the same time. To receive accurate readings, we need to make sure that most of the cells that we study were alive during the period wed like to measure thats why were confident of 3, not 4 months.
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A1c Calculator For Average Blood Sugar Level
The HbA1c tool calculates your average blood glucose level in units. The glycated Hemoglobin A1C test shows your average blood sugar level over the past 2 to 3 months. If youd like to know your average blood sugar level over that time frame, just enter your most recent HbA1c results into the A1c calculator below, then hit enter. Furthermore, you can calculate your A1c level simply by entering your average blood sugar level into that field, hit enter for your result. . So basically, when people ask Can I calculate my A1C at home?, the answer is yes. Reference the A1C chart with your result value. A helpful tool for diabetics with t1d or t2d diabetes!
How Often Do I Need An A1c Test
This calculator only estimates how the A1C of someone who self-monitors quite frequently might correlate with their average meter readings. But many factors can affect blood glucose, so its critical to have your A1C checked by your doctor regularly.
The ADA recommends an A1C test at least 2 times a year for those who are in good control. For those who have changed their therapy or who are not in good control and not meeting glycemic goals, an A1C test is recommended quarterly. Your doctor will help you decide whats right for you.1
How Accurate Are The Results
The calculator looks to provide an estimate of what your HbA1c value may be based upon your average blood glucose results and vice versa. Its important to note that HbA1c and blood glucose tests measure different things.
Blood glucose tests measure the concentration of glucose molecules in the blood at a single point in time.
The HbA1c test measures the proportion of haemoglobin molecules in the blood that have become chemically bonded with glucose over a period of up to 3 months.
However, the calculator serves as a useful guide which can give you a close indication of what your HbA1c result might be based on your blood glucose results?
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Calculating Your A1c From Your Eag
If you already know your eAG from a doctor’s visit or another test, you can derive your A1C from the same calculator or formulas above. Remember, however, that this measurement is an estimation and if you find that your value is outside of the normal range, you may want to speak to your doctor to learn more.
What Is Normal Blood Sugar For Diabetics
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How To Translate Your A1c To A Blood Sugar Level
An HbA1c reading on its own isnt very helpful unless you know what it really means about your daily blood sugar levels.
Understanding how your A1c accumulates over the course of 3 months and how it translates to an actual average blood sugar level is a critical part of diabetes management that is often never explained in the doctors office.
In this article, well talk about how AGEs lead to your A1c, how your A1c result translates to an eAG, and what you can do next with that information!
Are The New Hba1c Units Related To Blood Glucose Test Units
The new HbA1c units looks similar to the units used for blood glucose tests but they are measuring two different values.
The HbA1c test measures how much haemoglobin in the blood has become glycated .
HbA1c is a measure of how well controlled your blood sugar has been over a period of about 3 months. It essentially gives a good idea how high or low, on average, your blood glucose levels have been.
A sample of blood will be take, usually from your arm. The test measures how much glucose has stuck to haemoglobin in the blood.
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How The Test Works
The sugar in your blood is called glucose. When glucose builds up in your blood, it binds to the hemoglobin in your red blood cells. The A1c test measures how much glucose is bound.
Red blood cells live for about 3 months, so the test shows the average level of glucose in your blood for the past 3 months.
If your glucose levels have been high over recent weeks, your hemoglobin A1c test will be higher.
Certain factors can affect the accuracy of A1C tests, including:
- Genetics, such as hemoglobin variants.
- Medical conditions.
- Medications and supplements.
- Errors in the collection, transport or processing of the test.
These factors can make your result falsely low or falsely high. Most of the factors are due to differences in the lifespan and health of your red blood cells.
Hemoglobin variants and A1C results
Hemoglobin variants can affect the results of some A1C tests.
The form of hemoglobin in your blood depends on the genes you inherit from your biological parents. There are many different forms. The most common form is hemoglobin A. Other, less common forms of hemoglobin are called hemoglobin variants.
A hemoglobin variant doesnt increase your risk of developing diabetes, but it can affect A1C results. Labs have different ways to do A1C tests on blood with a hemoglobin variant.
The most common variants include:
Causes of falsely low A1C results