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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 .
This test, unlike the other tests, is measured as a percentage because the test measure the proportion of all the hemoglobin that has glucose attached. [2] [10] This test measures the average amount of diabetic control over a period of about 3 months. [10] In non-diabetic people, the HbA1c level ranges from 4.0 to 5.7%. [10]
Many types of glucose tests exist and they can be used to estimate blood sugar levels at a given time or, over a longer period of time, to obtain average levels or to see how fast the body is able to normalize changed glucose levels. Eating food for example leads to elevated blood sugar levels.
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Blood glucose monitoring is the use of a glucose meter for testing the concentration of glucose in the blood ().Particularly important in diabetes management, a blood glucose test is typically performed by piercing the skin (typically, via fingerstick) to draw blood, then applying the blood to a chemically active disposable 'test-strip'.
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A fasting or random blood sugar is preferred over the glucose tolerance test, as they are more convenient for people. [10] HbA 1c has the advantages that fasting is not required and results are more stable but has the disadvantage that the test is more costly than measurement of blood glucose. [69]