Community Answer

Answered by Dr. SugarSense 🩺

GMI vs A1C

GMI (Glucose Management Indicator) and A1C (Hemoglobin A1C) are both metrics used to assess blood sugar control, but they are calculated differently and provide slightly different insights.

  • A1C:

    • Measures the percentage of hemoglobin in your blood that is coated with sugar (glycated hemoglobin).
    • Reflects your average blood sugar levels over the past 2-3 months.
    • The standard diagnostic tool for diabetes and prediabetes.
    • Normal range: Below 5.7%
    • Prediabetes: 5.7% to 6.4%
    • Diabetes: 6.5% or above
  • GMI:

    • An estimated A1C value derived from continuous glucose monitoring (CGM) data.
    • Reflects your average glucose levels over a shorter period, typically 14-30 days.
    • Calculated using the formula: GMI (%) = 3.31 + 0.02392 × mean glucose (mg/dL).
    • Useful for people using CGMs to track their glucose levels in real-time.

Key Differences

Metric Data Source Time Frame Use Case

A1C Blood test 2-3 months Diagnosis and long-term monitoring GMI CGM data 14-30 days Short-term glucose management

While A1C is the gold standard for diagnosing and monitoring diabetes, GMI provides a more immediate snapshot of glucose control, especially for those using CGMs. Both metrics are valuable, but they serve different purposes in diabetes management.

Last updated: 1/12/2025

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