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INF1

Haemoglobin A1c


This glycated fraction of haemoglobin ,which is a constituent of the red blood cells(RBC), depends on the level of sugar during the production of the RBCs . These cells live for about 120 days and the production is continuous.

The table below shows the level of HbA1c reflecting the average reading of blood sugar in a period extending back 6 weeks to 3 months.  The current guidelines take  HbA1c of less than 7.5%,  and less than 6.5% in the presence of complications as ideal. Evidence shows that staying below 6.5% precludes complications.







Plasma Laboratory result mmol/L

Whole blood

BM result mmol/L

Haemoglobin

A1c

New HbA1c

Units

mmol/mol

3.5

3.1

4


5.5

4.9

5


7.5

6.7

6

42

9.5

8.5

7

53

11.5

10.3

8

64

13.5

12.1

9

75

15.5

18.8

10


17.5

15.6

11


19.5

11.4

12