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HbA1c or Glycosylated Haemoglobin Test for Diabetes Management | Glycosylated Haemoglobin HbA1c Test

 




HbA1c or Glycosylated Haemoglobin Test for Diabetes Management




HbA1c or Glycosylated Haemoglobin Test for Diabetes Management 




HbA1c or Glycosylated Haemoglobin Test for Diabetes Management, Glycosylated Haemoglobin HbA1c Test, hba1c glycosylated haemoglobin, glycosylated haemoglobin test, glycosylated haemoglobin normal range




An A1c test is what?



The haemoglobin Glycosylated A1c test reveals your average blood sugar level over the previous two to three months. Glycated haemoglobin test, HbA1c, and glycohaemoglobin are additional names for it. 

It resembles the season batting average of a baseball player. You cannot determine a player's career performance from one game. 

Additionally, one day's worth of test results and HbA1c cannot fully represent how well your treatment is working.

To check if their blood sugar levels are staying within the normal range, diabetics require this test regularly. It can indicate whether you need to modify your diabetes medication. Diabetes can also be identified using the A1c test.


  • How Does Haemoglobin Work?


Red blood cells contain a protein called haemoglobin. It offers Blood carries oxygen throughout your body, which is why it is red in colour.


  • How the Test Functions


Your blood sugar is known as glucose. Haemoglobin in your red blood cells binds to glucose when it accumulates in your blood. The A1c test calculates the amount of bound glucose.

The test displays the average blood glucose level over the previous three months because red blood cells have an average lifespan of about three months.

Your haemoglobin A1c test will be higher if your glucose levels have been elevated over the past few weeks.



                      

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A1c and blood sugar

                       

 A1c(%)            Blood sugar level average (mg/dL)

                                                    

4                                                  68

5                                                  97

6                                                 126

7                                                 152                                                                                                            

8                                                 182

9                                                 212


10                                               240

11                                               269

12                                               298


13                                               326

14                                              355





  • Setting A1c Level Objectives



For diabetics, a target A1c level is typically less than 7%. The risk of developing diabetes-related complications increases with increasing Glycosylated haemoglobin A1c levels. A level above 8% may be present in someone with long-term untreated diabetes.

If you have diabetes and your blood sugar level is higher than it should be, your doctor may adjust your treatment to lower it.

Your levels can be lowered with a combination of diet, exercise, and medication.

Every three months, people with diabetes should get an A1c test or glycosylated Hemoglobinto to make sure their blood sugar is within the target range. 

You might be able to go longer between blood tests if your diabetes is well-controlled. But Setting authorities advise checking at least twice annually.

This test may produce false results in individuals with diseases that affect haemoglobin, such as anaemia. 

Supplements containing vitamins C and E as well as high cholesterol levels are additional factors that can impact the Glycosylated haemoglobin A1c test results. The test may be impacted by liver and kidney diseases as well.



A1c Test results:


6.5 and above: Diabetes

5.7 to 6.4         : Prediabetes

Below 5.7: Normal





1. What is HbA1c (Glycosylated Haemoglobin) Test?



HbA1c (glycosylated haemoglobin) is a test that shows your average blood glucose level for the past two to three months. 

HbA1c is sometimes called a "haemoglobin A1c" test, a "haemoglobin A1c test," or an "HbA1c test." The test is done by drawing a small amount of blood from a vein in your arm. 

The blood is sent to a lab, where it is tested. The health care provider will talk with you about the results, what they mean, and what your future testing schedule should be. 

Glucometers are not as accurate as lab tests. The lab test should be done at least twice a year if your diabetes is well controlled.

 The goal is to keep your blood glucose levels as close to normal as possible.


  •  Who should get an HbA1c test?


Blood sugar levels are closely monitored by individuals with diabetes and their healthcare providers to prevent complications that can occur if blood sugar levels are too high or too low. 

One of the tests your healthcare provider will test is your Glycosylated haemoglobin or A1c test. The A1c test gives a picture of your average blood sugar levels over the past 2 to 3 months. 

The A1c test measures the amount of glucose (sugar) that has been attached to your red blood cells over the life of the cells. 

This test is important because the higher the A1c level, the longer the red blood cells live in your circulation. 

The longer the cells are in circulation, the more likely one of these cells will get stuck in a small blood vessel causing damage to the vessel.

"A1c test for Diabetes" is a simple and noninvasive way to test for diabetes. An A1c test is typically ordered by a physician as a screening test for diabetes, although it is not a diagnostic test. 

The HbA1c test is done by taking a small sample of blood from your vein and analyzing it. The test is usually performed in the morning because the amount of glucose in your blood is usually highest in the morning.

HbA1c, also called Glycosylated Hemoglobin, is a blood test used to determine your average blood sugar levels over the past 3 months. 

It's a good way to determine how well your diabetes treatment is working over time. It is reported as a percentage, so the lower the HbA1c percentage, the better. 

The normal HbA1c  is below 5.7%. The HbA1c level is a good indicator of blood sugar control over the past 3 months. A change in the HbA1c level can be an early indicator of a change in blood sugar control.


  • How to do an HbA1c test or Glycosylated  Haemoglobin test


Diabetes is a disease in which a person’s blood glucose, also called blood sugar, is too high. Your primary source of energy is blood glucose, which is obtained from the food you eat.   



How to do an HbA1c test or Glycosylated  Haemoglobin test




Insulin, a hormone made by the pancreas, helps glucose get into the body's cells. Once inside the cells, glucose is used for energy. 

If you have diabetes, your body can’t make enough insulin or can’t use insulin well. This causes your blood glucose levels to rise.

HbA1c is a blood test that shows your average blood sugar for the past few months. Your HbA1c level can tell your health care provider if you are at risk for diabetes complications. 

If your HbA1c level is 6.5% or higher, you have prediabetes. If it’s between 6.0 and 6.4 per cent, you have diabetes. (See Reference 1)

The HbA1c is one of the most important tests in diabetes management. This test is used to determine the average blood glucose levels over some time. 

The HbA1c or Glycosylated  Haemoglobin test was developed in 1979 by the American Diabetes Association and the National Glycohemoglobin Standardization Program. 

It was created to be a better indicator for long-term blood glucose control than the fasting plasma glucose test. This blood test measures the percentage of blood sugar attached to haemoglobin in the blood.


  •  What is an HbA1c test result?


Glycosylated haemoglobin, or HbA1c, is the measure of your average blood sugar control over the past 8-12 weeks. 

It is most often used to help evaluate how well you are managing your diabetes. The higher the HbA1c number, the poorer your average blood sugar control. 

If your HbA1c is high, it means your blood sugar levels have been consistently elevated for a prolonged period. 

This could be from poor diet, stress, an unhealthy lifestyle, or other factors. If your HbA1c is significantly elevated, then you may be more likely to develop complications associated with diabetes.




  •  Key things to remember about HbA1c Test



The HbA1c test is a blood test that is used to measure blood sugar (glucose) over the past 2-3 months. 

A normal level of HbA1c is between 4.0 and 6.0 per cent. A normal level of HbA1c can vary based on your age and the number of carbohydrates you eat each day. 

A lower number means that your blood sugar levels have been lower and a higher number means your blood sugar levels have been higher. 

You can use your HbA1c results to see how well your diabetes treatment plan is working. You should talk to your doctor before making any changes to your diabetes treatment plan based on your HbA1c results.



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HbA1c test procedure



The HbA1c or Glycosylated Hemoglobin test procedure is done on the blood samples collected from the patient's veins. 

The blood is collected in test tubes containing ethylenediaminetetraacetic acid (EDTA) as an anticoagulant. 

The blood is allowed to clot and the clot is separated from the clear serum. The serum is then stored at 2-8 degree Celsius. The test is done on the serum which is sent to the laboratory. 

The test is performed on all types of blood including whole blood, blood separated by centrifugation and blood separated by centrifugation.

The HbA1c test procedure is done on a drop of blood from the fingertip or earlobe. Though blood sample is normally collected from the vein of the arm. 

The blood sample is collected on a special strip and is placed in a machine for measuring. Results of the HbA1c test are expressed as a percentage. Note that the HbA1c test is a blood test, not a urine test.



  •  What is the HbA1c test used for?



The HbA1c test is the commonly used test to determine the level of glucose (blood sugar) in the blood. It is also referred to as glycosylated haemoglobin and glycated protein. 

It is produced by the red blood cells that are attached to the protein haemoglobin. The red blood cells are called RBCs or erythrocytes.

 The RBCs are produced in the bone marrow and they transport oxygen from the lungs to the tissues of the body. 

The RBCs get destroyed when they reach the tissues and the haemoglobin (sugar) is released into the blood. HbA1c test is used to diagnose type 1 and type 2 diabetes. 

It is also used to monitor the glycemic control of a person with diabetes. It tells to what extent the blood glucose is controlled. It is used to determine the average blood glucose levels over one to three months.

HbA1c is a blood test used to test how well our blood sugar is controlled over the past 3 months. The results are reported as a percentage (%) of the total red blood cells in the body. 

Normally, blood sugar levels are balanced, and the body maintains a steady level of glucose in the blood. In diabetes, blood sugar levels are too high.

 Over time, high blood sugar can damage the nerves and blood vessels and cause complications. The HbA1c  or  Glycosylated Hemoglobin test helps to determine if diabetes is being controlled and if the treatment plan is working.





  •   HbA1c test report



HbA1c, also spelt HbA1c or HbA1c, is a test used to determine the average blood glucose level for the past two to three months.

 HbA1c test reports can be used to determine the overall blood glucose level over the past 60 to 90 days. 

The HbA1c test result is reported as a percentage and is used to detect long-term blood glucose control when blood glucose is not easily measured.



What is the HbA1c Level?



HbA1c level is the blood test that measures the amount of glucose that is attached to the haemoglobin in red blood cells. 

In diabetic patients, this number will be more than that of normal people. What is haemoglobin?

 Haemoglobin is a substance found in red blood cells that is responsible for carrying oxygen from the lungs to all the tissues in the body. 

When the haemoglobin has glucose attached to it, it is called glycosylated haemoglobin or haemoglobin A1c (HbA1c or Hgb A1c). The test for checking HbA1c level is called the glycated haemoglobin test or glycosylated haemoglobin test.

HbA1c levels also called glycosylated haemoglobin or HbA1c level is a blood test that reflects blood sugar (glucose) levels over the past two to three months. 

An HbA1c of less than 5 per cent is normal. A level of 5.7 to 6.4 per cent is considered prediabetes.

 An HbA1c level of 6.5 per cent or higher on two separate blood tests indicates you have diabetes. If the level is between 6.0 and 6.4 per cent, you may have prediabetes and should be evaluated for diabetes. 

A retest in one to two months is recommended. The most common reason for the test is to follow up on diabetes treatment. 

The American Diabetes Association recommends that you get your HbA1c level checked every three months from the start of your diabetes treatment.



Why is HbA1c Test Done?



The HbA1c test is the most common type of blood test used to monitor diabetes. 

It gives a picture of your average blood sugar levels over the past two to three months and is important for diagnosing diabetes, monitoring treatment and preventing complications. 

An HbA1c or Glycosylated Hemoglobin test is often done along with a Fasting Blood Glucose test, also called a glucose tolerance test, to measure your blood sugar levels after a fast. 

The results of these tests are used to determine whether your blood sugar levels are in a healthy range.



How is HbA1c measured?



HbA1c (Glycosylated Hemoglobin) is a simple blood test that gives you a general idea of how well your blood sugar has been controlled over the past couple of months. 

HbA1c is a breakdown of the percentage of your haemoglobin (a protein in red blood cells that carries oxygen) that has been chemically bonded with glucose. 

In a non-diabetic person, the HbA1c levels are normally around 4.5%. In a diabetic person, they can be much higher. People who have diabetes have high blood sugar. 

This sugar binds to the red blood cells and stays there for the life of the red blood cell, which is about three months. 

So, people with diabetes have red blood cells that are loaded with sugar. HbA1c was designed to test for diabetes. 

It gives a good estimation of blood sugar levels for the past 3 months, as opposed to blood sugar levels in the past week, which is what the fasting blood sugar test (FBS) does.




What are the different kinds of tests for HbA1c?




HbA1c is a commonly-used indicator of how well your blood sugar is controlled and of your average blood sugar levels over the past 2 to 3 months. 

It is also sometimes called glycated haemoglobin or glycosylated haemoglobin. Because this test reflects average blood glucose levels over some time, it can help you and your doctor better understand your diabetes. 

You may have heard that there are different kinds of HbA1c tests. 

This is true. But the difference is not so much in the test itself, as in what the test tells you about your blood sugar levels. There are three different kinds of tests for HbA1c.

HbA1c is a commonly-used indicator of how well your blood sugar is controlled and of your average blood sugar levels over the past 2 to 3 months. 

It is also sometimes called glycated haemoglobin or glycosylated haemoglobin. Because this test reflects average blood glucose levels over some time, it can help you and your doctor better understand your diabetes. 

You may have heard that there are different kinds of HbA1c tests. This is true. But the difference is not so much in the test itself, as in what the test tells you about your blood sugar levels. 

There are three different kinds of tests for HbA1c.

HbA1c is most frequently measured using four fundamental types of techniques: immunoassay, ion-exchange HPLC, boronate affinity HPLC, and enzymatic tests.



 

How to treat high HbA1c?




Glycosylated haemoglobin or HbA1c is the form of haemoglobin that is glycosylated (attached) to glucose. 

It is a measure of the average glucose concentration over the preceding ~3 months. HbA1c is used as a marker for diabetes mellitus type 1 and type 2. 

The American Diabetes Association recommends HbA1c measurement for diagnosis of diabetes, monitoring of long-term diabetes control, and even for predicting the risk of developing diabetes.

HbA1c (Glycosylated haemoglobin) is a kidney disorder. The HbA1c measurement shows how well the body is controlling glucose (blood sugar). Both high and low HbA1c levels can be a sign of diabetes. 

Normal HbA1c levels are below 6.5 per cent. Higher levels can mean the diabetes is not controlled. The higher the level, the greater the risk of complications.

If you are looking for ways to treat high HbA1c, you've probably already tried most of them. Limiting carbs, eating less, eating more, exercising more, exercising less, eating different foods, etc. 

Here's some good news: you don't have to try any more! The fact is that you need to stop thinking that you can do anything about your high HbA1c level. 

You've probably already tried for a long time and it obviously didn't work, so you need to give up trying and accept that your HbA1c is high, and you need to live with that. 

That's right -- stop trying to reduce your HbA1c level. The best way to treat high HbA1c is to accept it, live with it, and live your life without worrying about it.

 Don't believe me? Some research shows that people who accept that they have high HbA1c levels live longer, happier and healthier lives. 

While there are instances where it is possible to treat high HbA1c or Glycosylated Haemoglobin it's best not to because it will only make your life worse.



The Bottom Line




HbA1c or Glycosylated Hemoglobin Test is an indicator of blood sugar control over the last 2-3 months. It is not a diagnostic test but a tool used to follow blood sugar control over some time.

 Several different kinds of tests can be used to measure your blood sugar levels. 

It is important to be aware of these different tests so you can make informed choices about the right test for you.

Test HbA1c to know if you are at risk of developing Type 2 Diabetes. HbA1c is especially useful for managing type 2 diabetes.


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