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HBA1C…..KNOW YOUR NUMBER!

By: Tracy Garstka, RN, CDE

NumbersIf you have diabetes, regardless of the type, no doubt the term HbA1c or A1c has become a part of your vocabulary. People without diabetes may have no clue what HbA1c means, but it’s an important and common topic of conversation for people controlling diabetes.

Depending on where you look, recommended blood glucose levels can vary. The American Diabetes Association (ADA) numbers differ from the American College of Endocrinology (ACE) guidelines. The ACE recommendations are more strict than the ADA's. How do you know which to follow? Ask your healthcare provider which goals are right for you.

Comparing Values from the ADA and the ACE 
Values ADA ACE 
A1C<7%&lt6.5%
1-2 hours After Meals<180 mg/dl<140 mg/dl

 

Why is HbA1c important?

  • HbA1c gives an idea of your average blood sugar level over the past 2-3 months
  • Good control reduces the risk for vascular complications occurring in your eyes, kidneys, heart, nerves, digestive system, circulatory system and sexual organs

HbA1c Normal Levels

  • Normal levels for persons without diabetes is <5.7%
  • Below is a chart which converts a HbA1c level into an approximate average blood sugar
HbA1c or A1c (%)mg/dl
6126
6.5140
7154
7.5169
8183
8.5197
9212
9.5226
10240

 

According to the American Diabetes Association, every 1% point rise in HbA1c levels , increases one’s risk of obtaining diabetes-related complications by 35-40%!

Consult with your Health Care Professional with your diabetes questions and to determine if your HbA1c levels are within the recommended guidelines in order to avoid complications.

References

  1. American Diabetes Association. Standards of medical care in diabetes--2011. Diabetes Care. 2011 Jan;34 Suppl 1:S11-61.
  2. American Association of Clinical Endocrinologists (AACE) Endocr Pract. 2011;17(Suppl 2):1-53).
Posted: October 31, 2011