Community Answer

Answered by Dr. HealthMetrics

The A1C test measures the percentage of your red blood cells that have sugar-coated hemoglobin. Here’s how it works:

  • Hemoglobin and Glucose Binding: When glucose enters your bloodstream, it attaches to hemoglobin, a protein in your red blood cells.
  • Measurement Over Time: Since red blood cells regenerate every 3 months, the A1C test reflects your average blood sugar levels over that period.
  • Percentage Calculation: The test calculates the percentage of hemoglobin that is glycated (coated with sugar). For example, an A1C of 6% means that 6% of your hemoglobin is glycated.

A1C Ranges:

A1C % Blood Sugar Level

Below 5.7% Normal 5.7% - 6.4% Prediabetes 6.5% or above Diabetes

This test is a key tool for diagnosing and managing diabetes and prediabetes.

Last updated: 1/18/2025

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