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Diabetes A1c

Posted in: Diabetes facts

Dear Susannah, 

I was really sad to learn that your blood sugar (glucose) level is high. It is good though, that you are having a diabetes A1c test done. As I explained to you by phone, since your blood test showed high levels of blood sugar, your doctor is ordering a A1c test to determine your average glucose during the last three months. I am sending you some information on the diabetes A1c test as you requested.  

What is the A1c or HbA1c test?
I know the name A1c, also known as HbA1c, glycated hemoglobin test, or glycohemoglobin sounds kind of weird but it is a very important test used by doctors to determine the average of your blood sugar levels during the past three months. By the way, HbA stands for hemoglobin A.

Hemoglobin A is a protein found inside your red blood cells and its main function is to carry oxygen throughout your body. When there are high levels of sugar in your blood (glucose), the sugar molecules can stick (glycate) to the hemoglobin A protein molecules.

Once the sugar in your blood sticks to a hemoglobin protein, it typically remains glycated for the life of the hemoglobin A protein — about 120 days. As you can see, the A1c test measures how much sugar in your blood is stuck to hemoglobin A. If your blood sugar levels have been high during the recent weeks, your hemoglobin A1c test will also be high.

What’s a normal result for the Hemoglobin A1c test?                                                                 

diabetes A1c

For people without diabetes, the normal range for the hemoglobin A1c test is between 4% and 6%. Anything bove these numbers means diabetes. The target for people with diabetes is an hemoglobin A1c less than 7%. You need to be aware that the A1c test can show a false result in cases of anemia.

How is the test performed?
The A1c test is performed by taking a single drop of blood so, as you see, it is a little less painful than a regular blood test. The sample is either analyzed at your doctors’ office or is sent to a laboratory. You don’t need to worry about fasting because food eaten on the same day won’t affect the result.

People with diabetes usually have this test done every three months. If the have their blood sugar level under control, twice a year may be enough. 

Let me know as soon as you have the results for Diabetes A1c so we can exchange opinions on this subject. In the meantime, receive all my affection, 

Emilia Klapp, RD, BS
Your Diabetes Coach
www.TheDiabetesClub.com
www.MediterraneanDietForTheHeart.com

Dear Reader: Have you ever had an HbA1c test done? If so, did it help you understand the mechanics behind the test? I would love to hear your comments.

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3 Responses to “Diabetes A1c”

  1. Hi Susan,

    your article provides a great explanation of what the HbA1c test is. It is indeed a measure of the blood glucose levels over a period of time. I enjoyed reading your article. This new blog of yours looks great. I love the picture in the header graph!

  2. Some feedback: I think it would be nice if you put a little photo of your face on the top right hand corner, in the “About” block. This way when people land on your blog, they instantly see you and know who they had to do with.

  3. [...] patients don’t know how to read a diabetes A1c blood test.  This is the statement made by Pharmacy News, the independent website of the [...]

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