Community Answer

Answered by Dr. SugarSense 🩺

The A1C level, also known as the hemoglobin A1C or HbA1c test, measures your average blood sugar levels over the past 2 to 3 months. It provides a broader picture of your blood sugar control compared to daily glucose tests, which only show a snapshot of your blood sugar at a single point in time.

Key Points:

  • Normal A1C: Below 5.7%
  • Prediabetes: 5.7% to 6.4%
  • Diabetes: 6.5% or above

How It Works:

  • Glucose in your blood attaches to hemoglobin, a protein in red blood cells.
  • The A1C test measures the percentage of red blood cells that have glucose-coated hemoglobin.
  • Since red blood cells regenerate every 3 months, the A1C test reflects your average blood sugar over that period.

Why It Matters:

  • Diagnosis: Used to diagnose prediabetes and diabetes.
  • Monitoring: Helps track how well you’re managing your diabetes over time.
  • Goals: For most people with diabetes, the target A1C is below 7%, but your doctor may set a different goal based on your health.

Factors Affecting A1C Accuracy:

  • Conditions like anemia, kidney failure, or certain medications can affect results.
  • Always discuss any unusual results with your healthcare provider.

Last updated: 1/12/2025

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