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There are several ways to measure glycated hemoglobin, of which HbA1c (or simply A1c) is a standard single test. [5] HbA1c is measured primarily to determine the three-month average blood sugar level and is used as a standard diagnostic test for evaluating the risk of complications of diabetes and as an assessment of glycemic control .
Unit conversion formula from mmol/L to mg/dL [5] m g / d L = m m o l / L × m o l e c u l a r w e i g h t ÷ 10 {\displaystyle mg/dL=mmol/L\times molecular\ weight\div 10} Since the molecular mass of glucose C 6 H 12 O 6 is 180.156 g/mol, the factor between the two units is about 18, so 1 mmol/L of glucose is equivalent to 18 mg/dL.
On average, each change of 3.3 mmol (60 mg/dL) in average blood sugar levels will give rise to changes of 2% HbA1c and 75 μmol fructosamine values. [6] However, this overemphasizes the upper limit of many laboratories' reference ranges of 285 μmol/L as equivalent to HbA1c 7.5% rather than 6.5%.
Chronic hyperglycemia can be measured via the HbA1c test. The definition of acute hyperglycemia varies by study, with mmol/L levels from 8 to 15 (mg/dL levels from 144 to 270). [49] Defects in insulin secretion, insulin action, or both, results in hyperglycemia. [16]
Measurement of HbA1c—the predominant form of glycated hemoglobin—enables medium-term blood sugar control to be monitored in diabetes. Some glycation products are implicated in many age-related chronic diseases, including cardiovascular diseases (the endothelium, fibrinogen, and collagen are damaged) and Alzheimer's disease (amyloid proteins ...
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