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what does A1c measure?
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Remember that the information presented here is not intended to replace the care of your own doctor. Before making any changes in the management of your own illness, you should consult your physician or other qualified medical professionals.


Question

I am 58 and was recently told I have pre-diabetes and that my HbA1c now 5.5% which is good. What does this scale measure? What is the normal range? Why should I care?

Answer

The A1c is a measure of your average blood sugar for a period of about three months prior to the test. Since methods vary from lab to lab, you'll need to contact the lab that performed the A1c to learn the normal range; in most labs, it's less than about 6.

If your physician has told you you have pre-diabetes, you'll have to ask what prompted that statement. This diagnosis is not made on the basis of an A1c and usually refers to an abnormal blood glucose level (typically a fasting value).

You should be concerned because studies have shown that the onset of full-blown diabetes can at least be delayed if proper interventions are introduced at this stage. For further information, see our webpages about the diabetes prevention program and Diabetes Prevention Program questions & answers.

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