The Relationship Between HbA1c and average blood sugar level, Know Your Numbers

The Hemoglobin A1c is a test that correlates fairly closely with your average blood sugar over the last 3 months. The average blood sugar has a close relationship to the risk for complications due to glucotoxicity. The most direct correlation is with the small blood vessel complication which are Neuropathy which is damage to the nerves, Retinopathy which is damage to the small blood vessels of the retina, and Nephropathy which is damage to the delicate filtering glomeruli which are tufts of small blood vessels in the kidney. This protein, that is hemoglobin is just one of the many proteins in the body that can be irreversibly attached to glucose and change its characteristics. The Hemoglobin which is the oxygen carrying part of the blood is easy to obtain and test. We do it in the office in 6 minutes during your office visit. It is your report card for the last three months. Normal is up to 5.7%. The American Diabetes Assn goal is 7%. Below 7% is good control and much less likely to cause the above complications than higher percentages. Knowing your numbers which include the Hemoglobin A1c, your cholesteral, and your blood pressure will help persons with diabetes to take care of their diabetes and lead longer and healthier lives