Can A1c Be Wrong? How Doctors Determine HbA1c? Diabetics Beware!

If you're diabetic, it's important to know about HbA1c levels and what they mean. In this video, we discuss how doctors determine HbA1c levels and why false results can be a problem. We also offer some tips for ensuring your test results are accurate.

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𝐄𝐓𝐒𝐘.𝐂𝐎𝐌/𝐒𝐇𝐎𝐏/𝐒𝐔𝐆𝐀𝐑𝐌𝐃 𝐅𝐎𝐑 𝐍𝐎𝐍-𝐔𝐒𝐀 𝐂𝐔𝐒𝐓𝐎𝐌𝐄𝐑𝐒 𝐓𝐎 𝐏𝐔𝐑𝐂𝐇𝐀𝐒𝐄 𝐅𝐎𝐋𝐋𝐎𝐖𝐈𝐍𝐆 𝐎𝐑𝐈𝐆𝐈𝐍𝐀𝐋 𝐀𝐔𝐓𝐇𝐄𝐍𝐓𝐈𝐂 𝐒𝐔𝐆𝐀𝐑𝐌𝐃 𝐏𝐑𝐎𝐃𝐔𝐂𝐓𝐒:

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𝐒𝐮𝐛𝐬𝐜𝐫𝐢𝐛𝐞 𝐭𝐨 𝐒𝐮𝐠𝐚𝐫𝐌𝐃 𝐞𝐦𝐚𝐢𝐥 𝐥𝐢𝐬𝐭 𝐟𝐨𝐫 𝐝𝐢𝐬𝐜𝐨𝐮𝐧𝐭𝐬, 𝐩𝐫𝐨𝐦𝐨𝐭𝐢𝐨𝐧𝐬 𝐚𝐧𝐝 𝐧𝐞𝐰𝐬𝐥𝐞𝐭𝐭𝐞𝐫𝐬:
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Who is Dr. Ergin? Dr. Ahmet Ergin is an endocrinologist with a particular interest and passion for diabetes care. Dr. Ergin earned his medical degree with honors at Marmara University School of Medicine in Istanbul, Turkey. Then, he completed his internal medicine residency and endocrinology fellowship at Cleveland Clinic in Cleveland, Ohio. He is a board-certified physician in Internal Medicine and Endocrinology, diabetes, and metabolism. He is also a certified diabetes education specialist.
Disclaimer: Any information on diseases and treatments available at this channel is intended for general guidance only and must never be considered a substitute for the advice provided by your doctor or other qualified healthcare professional. Always seek the advice of your physician or other qualified health care professional with questions you may have regarding your medical condition.

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A1C is glycated hemoglobin, hemoglobin bound to glucose in the circulation. Most red blood cells include hemoglobin. The A1C level is created when red blood cells and sugar interact in the bloodstream. Higher blood glucose levels bind more glucose to hemoglobin, increasing A1C levels. A1C measures hemoglobin linked to glucose over time.

Hemoglobin is a protein found in red blood cells that transports oxygen. Glucose levels rise, sugar molecules bind to hemoglobin, causing anemia. Once glycated, hemoglobin remains in the blood until its red blood cell is removed. A red blood cell's lifespan is 3 to 4 months, therefore the A1C test measures blood glucose during that time. A1C results are a percentage. If your percentage is above the national average, your blood sugar is higher. Normal A1C is below 5.7%. You have diabetes if your A1C is 6.5 percent or above on two tests. A hemoglobin A1C between 5.7% and 6.4% implies prediabetes and increased risk for type 2 diabetes and heart disease. If your A1C is above the recommended range, your doctor will work with you to make lifestyle changes or prescribe medication.

People with diabetes commonly use finger-stick tests and portable glucose meters or continuous glucose monitoring devices such as Dexcom or libre at home. The A1C test measures diabetes management over two to three months. It helps determine how successfully diabetes is managed. A1C readings are given as a percentage or estimated average glucose (eAG) (estimated average glucose level). To calculate eAG, convert A1C to mg/dL or mmol/L. An A1C of 7% equates to an eAG of 154 mg/dL (8.6 mmol/L), while 9% corresponds to 197 mg/dL (11.0 mmol/L) of diabetes. Knowing your eAG can help you put your A1C in context and comprehend how your daily blood sugar levels relate to your overall glycemic control.

"Glycated hemoglobin" is A1c. Hemoglobin, the oxygen-carrying protein in red blood cells, forms when glucose binds to hemoglobin. High hemoglobin A1C levels can cause diabetes issues. Controlling A1C levels is critical for this reason. Most diabetics want to get their A1C below 7%. When setting goals, consider age and health. Younger persons who don't suffer hypoglycemia often need lower goals to avoid diabetic complications. Patients who frequently suffer low glucose may have a higher target glucose level. Consult your healthcare staff to discover your A1C level.