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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]
If blood sugar levels remain too high the body suppresses appetite over the short term. Long-term hyperglycemia causes many health problems including heart disease, cancer, [25] eye, kidney, and nerve damage. [26] Blood sugar levels above 16.7 mmol/L (300 mg/dL) can cause fatal reactions.
NCQA later decided to not report results of the HbA1c<7% measure publicly in 2008, to modify the HbA1c<7% measure for HEDIS 2009 "by adding exclusions for members within a specific age cohort and with certain comorbid conditions," and to add a new HbA1c<8% measure. [21]
These conditions may not have obvious symptoms and can damage organs in the long-term. Abnormally high/low levels, slow return to normal levels from either of these conditions and/or inability to normalize blood sugar levels means that the person being tested probably has some kind of medical condition like type 2 diabetes which is caused by ...
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To assist in diagnosis, a doctor may order an HbA1c test, which measures the blood sugar average over the two or three months before the test. The more specific 6-hour glucose tolerance test can be used to chart changes in the patient's blood sugar levels before ingestion of a special glucose drink and at regular intervals during the six hours ...
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