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Haemoglobin A1c (revision 1)

Old revision·09:00, 26 Jul 2024·MissedDoseMik

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Haemoglobin A1c
AbbreviationHbA1c
ReflectsAverage glucose over ~8–12 weeks
Unitsmmol/mol (IFCC); % (DCCT/NGSP)
Confounded byAnything altering red-cell lifespan
Topic infobox · conventions

Haemoglobin A1c is the fraction of haemoglobin that has been non-enzymatically glycated. Because glycation is irreversible and proceeds at a rate proportional to glucose concentration, the fraction integrates glucose exposure over the lifespan of the circulating red cells — roughly the preceding eight to twelve weeks, weighted towards the more recent.[1]

It is reported in two unit systems: mmol/mol under the IFCC reference method, and percentage under the older DCCT-aligned convention. Both appear in the literature and conversion between them is defined.[2]

References

  1. ^ American Diabetes Association. "Standards of Care in Diabetes." Diabetes Care 47(Suppl 1) (2024).
  2. ^ Nathan DM, Kuenen J, Borg R, et al. "Translating the A1C assay into estimated average glucose values." Diabetes Care 31(8):1473–1478 (2008). PMID 18540046.