HB1AC Test

How is HB1AC calculated?

HbA1c (often written A1C) estimates your average blood glucose over roughly the past 2–3 months. It is not calculated from a single fasting or post-meal glucose reading; a lab measures the percentage of hemoglobin in red blood cells that has glucose attached to it.

A common conversion is:

Estimated Average Glucose (eAG, mg/dL) = 28.7 × A1C − 46.7

So the reverse is:

A1C (%) = (eAG + 46.7) ÷ 28.7

For example, if your average glucose is about 154 mg/dL, then:

A1C ≈ (154 + 46.7) ÷ 28.7 ≈ 7.0%

Approximate equivalents:

HbA1c Average glucose
5.7% 117 mg/dL / 6.5 mmol/L
6.0% 126 mg/dL / 7.0 mmol/L
6.5% 140 mg/dL / 7.8 mmol/L
7.0% 154 mg/dL / 8.6 mmol/L
8.0% 183 mg/dL / 10.2 mmol/L
9.0% 212 mg/dL / 11.8 mmol/L
10.0% 240 mg/dL / 13.4 mmol/L

If you give me your recent fasting/post-meal glucose readings, I can estimate what HbA1c they roughly correspond to.

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