What Is Hemoglobin A1c?
This is a type of blood test. A hemoglobin A1c percentage is important because it is the only way to know how well patients are controlling their diabetes over time. Based on blood tests taken over a period of two or three months, doctors can estimate patients' average blood sugar levels. The goal for most diabetics is an A1c of less than 7%. This is roughly equivalent to an average blood sugar level of about 150 mg/dl. An A1c of 9% indicates an average blood sugar level of about 210 mg/dl.Here's how blood sugar works in the body. Glucose (blood sugar) circulates in the blood after food is absorbed in the intestine. A small amount normally combines with the hemoglobin molecule (A1c). Hemoglobin is the red-colored protein in red blood cells that carries oxygen to the rest of the body. It operates in direct proportion to the amount of glucose in the blood. The glucose remains with the hemoglobin molecule until the individual's red blood cells die - usually between two and three months. When the patient's blood is analyzed for hemoglobin A1c, the resulting value number provides an estimate of the level of glucose over that time period.