Community Answer

Answered by Dr. SugarSense 🩺

Both the A1C test and fasting glucose test are important for diagnosing and managing diabetes, but they measure different aspects of blood sugar control:

  • A1C Test: Measures your average blood sugar levels over the past 2-3 months. It reflects long-term glucose control and is less affected by daily fluctuations.
  • Fasting Glucose Test: Measures your blood sugar level at a single point in time after fasting for at least 8 hours. It provides a snapshot of your current glucose levels.

Which is more accurate?

  • A1C is generally more reliable for long-term glucose monitoring and diagnosing diabetes or prediabetes.
  • Fasting Glucose is useful for detecting immediate blood sugar issues but can be influenced by recent meals, stress, or illness.

When to use each:

  • A1C: Preferred for diagnosing diabetes and monitoring long-term glucose control.
  • Fasting Glucose: Often used alongside A1C for a comprehensive assessment.

Both tests have their strengths, and your doctor may recommend using them together for a complete picture of your glucose levels.

Last updated: 1/12/2025

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