Answer to yesterdays question -
An A1c test result of 8 is equivalent to a mean glucose of 183 mg/dl or 10.2 mm/l
A1c interpretation tip -
A 1 point change in your A1c equals a 29 mg/dl or 1.6 mm/l change in your average glucose. I
personally remember the desirable target goal for A1c is 7 which equals 154 Mg /dl ( 8.6 mm/l )
and the add or subtract from there. There are calculators that are useful if you happen to have
it with you at the time. The attached link is to the ADA calculator.
I have attached a link to an article with more details on this
What are the Benefits of A1c testing ? Glucose in blood binds to hemoglobin in red blood cells and remains attached for the life of the cell which is about 3 months. Higher glucose levels are associated with more glucose attachment . The chart below will give you an idea of how A1c results correlate with mean glucose test results.. The chart below was copied from the American Diabetes Association Standards of care A1C (%) Average plasma glucose
mg/dl mmol/l6 126 7.07 154 8.68 183 10.29 212 11.810 240 13.411 269 14.9
12 298 16.5The A1c test is a predictor of the risk for developing diabetes complications. Two classic studies, the DCCT study in Type 1 Diabetes and the UKPDS done with Type 2 Diabetes demonstrated a significant reduction in eye , nerve and kidney damage by reducing the A1c to 7. There was about a 30 % reduction in risk for a 1 % point drop in A1c. There was also a nonsignificant 16% reduction in cardiovascular risk by reducing The A1c from 8 to 7 in the UKPDS .These two large studies and another one called the Kumamoto study provided the evidence for establishing an A1c result of < 7 as the recommended target goal
Have fun , Be smart and know your numbers
Question - What is the difference between whole blood and plasma glucose test results ?