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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About A1c And Converting To Estimated Average Glucose
A1C is a blood test which measures average blood glucose levels over a period of approximately the past 3 months, providing a broader view of sugar levels than a test at a given point in time, such as after fasting, or before/after a meal.
A1C is helpful for doctors to diagnose Prediabetes, Type 1 and Type 2 diabetes, and is also used see how well one’s treatment plan is working.
A1C is reported as a percentage, which is different from the results of home meters used to monitor blood glucose levels and blood glucose tests, which report in milligrams per decilitre or millimoles per litre .
Converting A1C to eAG facilitates understanding A1C, since eAG is in the more familiar mg/dl or mmol/L metric. Researchers developed a formula that converts A1C to eAG that formula, shown below, is used by this calculator:
eAG = 28.7 * A1C – 46.7
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Whats The Recommended A1c For People With Diabetes
The American Diabetes Association recommends an A1C goal of < 7% in most adults . Some healthcare providers may recommend an A1C of < 6.5%, if they can maintain it without adverse effects or events, such as frequent hypoglycemia.2
An A1C of < 8% is also thought to be appropriate for people:
- with a history of hypoglycemia
- limited life expectancy
- or other complexities of life.2
We recommend that you discuss your personal target goals with your care team.
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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 professional’s advice.
This article updated with new images and resource links.
What Does A1c Measure
You may be wondering what makes this test different, especially if you already check your blood sugar multiple times a day. The A1C test goes by a few names, including glycosylated hemoglobin, glycated hemoglobin, or hemoglobin A1C . All of these names hint at what is being measured the amount of sugar attached to hemoglobin.
Hemoglobin is a protein found inside red blood cells, and its job is to carry oxygen to the lungs and all of the cells in your body. Glucose enters your blood stream and sticks, or glycates, with the hemoglobin. The higher your blood glucose, the more sugar-coated or glycated the hemoglobin becomes.
Since the lifecycle of a red blood cell is about four months, the A1C percentage reflects average blood sugar levels detected on hemoglobin cells of varying ages days, weeks, or months old. If your blood glucose control has generally been steady, your hemoglobin cells will not be highly sugar-coated, or glycated, leading to a lower A1C value.
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What Can You Do To Improve Your A1c Levels
People often wonder how long it will take to improve their A1C number. By following your diabetes self-care plan, you can improve your A1C by your next three-month check. Your A1C may continue to go down at each visit if you continue to partner with your healthcare provider and follow the tips above.
Its not helpful to test your A1C more frequently than every three months, and more frequent testing is not always covered by insurance. If you feel like you have followed your healthcare providers recommendations but your A1C level is high, dont take it personally. Again, there are many factors that make diabetes management difficult, and if you continue to work on it, your number will come down.
In summary, the A1C test gives you a picture of your overall glucose levels. There is no bad or good number, just information that helps you and your healthcare provider understand how well your diabetes management plan is working.
Using an A1C calculator can give you an idea of how your A1C translates into an EAG number that you can recognize, using the same unit of measurement as shown on a blood glucose meter. However, remember that A1C goals can be different for each person based on age, treatment goals, access to diabetes supplies, and other health issues present, so dont be afraid to talk with your healthcare professional about setting your unique goals to lead to better diabetes management.
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- Exercise helps to lower your blood glucose levels by allowing your body to use its own insulin more effectively. This will, in turn, help lower A1C levels. Exercise also tones and builds muscle which is more metabolically active than fat. Ask your health care professional for advice on how to start a safe exercise program.
- Medications can play a very important role in lowering A1C. Be sure to follow your health care provider’s advice regarding diabetes medicines. For those who are newly diagnosed with diabetes, it can be very helpful to keep a diary of foods eaten, medications taken and timing. This information can be very useful to your physician.
What Does The A1c Test Measure
The A1C test measures the average glucose level over the past three months. Think of it as a 24/7 video of all of the ups, downs and in between of glucose levels. It gives you an idea of how well your body is managing glucose.
The A1C test is different than a blood glucose monitor check or continuous glucose monitors. These devices give you the glucose level at that exact moment in time.
Using A1C, along with day-to-day glucose results is a good way of measuring how well diabetes is being managed.
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Normal A1c Levels Chart For Non
According to American Diabetes Association latest guidelines 2017 and 2018,Hemoglobin A1c levels 3, 4, 5, and up to 5.7 is normal and tell that the person has no DM.Non-diabetes means your blood glucose test results are within the expected normal limits for healthy persons.The normal hemoglobin A1c means youre not diabetic or you are on the goal levels, I mean that:A1c 4.0% and A1c 5.0 means you werent diabetic and this value is the normal levels that all healthy persons must have.But A1c 5.7% means you are on the last step before prediabetes stage.
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Hgb A1c Chart For Diabetes
Contains the levels of A1c that considered high for people suffering from DM patients whose treatment based on metformin or insulin.Any reading of A1c is greater than 6.5 tells you have got DM according to ADA guidelines,although for people who are already have DM and taking medications the levels from 7 to 8 is the target value they should shoot for.However persons with type 1 DM and are on insulin especially children may show A1c levels over 10,and they must fight to lower their Hgb a1c levels to theee goal targets.Two consecutive tests show high A1c levels confirm the diagnosis of DM and means that the person has diabetes millitus type 2 or type 1.For a person on metformin and A1c 7% it means he achieved the target value for type 2 diabetes mellitus.However, for type 1 diabetes millitus and persons taking insulin to control DM the A1c 8.0 is mild as all his results may hit the A1c 12%.
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How To Calculate A1c / Formula
It doesnt get any easier than utilizing our A1C calculator. Simply enter the level of hemoglobin A1C from your lab test to get an instant result. Both the hemoglobin and average blood sugar sections allow you to move freely between units.
Here is the formula for converting A1c to average blood sugar for people who are inquisitive about the details:
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Average From A Glucose Meter
Although an A1C level gives you a sense of average glucose levels over the past few months, a person with type 1 or type 2 diabetes needs a blood glucose meter to check blood sugar and make treatment decisions on a day-to-day basis.
If you test often during the day like before and after meals and other times that your blood sugar can vary and use an accurate glucose meter, this can give you valuable information on daily variations in blood sugar levels. Many blood glucose meters are also equipped to provide 7, 14, 30, or 90-day averages. A 90-day average on your meter can be used in the calculator above to estimate how it may correlate to an A1C.
Glucose meter averages are based on the frequency that you have tested per day, so if you do not have many data points or are unable to test at certain times , it probably wont give you a full picture of your blood sugar levels and may skew lower than an A1C test result.
What Could Cause A1c To Get Obstructed
Conditions like acute and chronic blood loss, hemolytic anemia, and splenomegaly can cause A1C values that are artificially low. The A1c readings of patients with end-stage renal illness are frequently artificially low. This is because of the chronic anemia that comes with it, which reduces red cell survival.
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What Foods Can Lower My A1c
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Understanding Your Diabetes Diagnosis
Diabetes can cause major health problems if you do not keep your blood sugar in check. However, you can stay healthy and feel good despite your diagnosis if you follow your doctorâs recommended treatment plan and maintain a healthy lifestyle. By choosing foods wisely, exercising regularly, maintaining a normal weight, reducing your stress level, and making other modest lifestyle changes, living with diabetes will be easier.
SOURCES:Centers for Disease Control: National Diabetes Statistics Report, 2014. American Diabetes Association: âAll About Diabetes.â Woerle, H. Archives of Internal Medicine, 2004. Forouhi, G. Diabetologia, 2006. Phillips, LS. Diabetes Care, 2006. News release, FDA.
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