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Why HbA1c Test Is Important for People with Diabetes

Provided by Expert Zhang Youkang on 2012-09-30 17:29

HbA1c test is an important test for people with diabetes. It can reflect the patients’ illness condition more accurately than blood glucose level in a long period.

The level of HbA1c can reflect the blood glucose level in the past 2~3 months and it is not affected by occasional increasing or declining in glucose level. American Diabetes Association(ADA) suggests that HbA1c should be controlled to less than 7%. If its level exceeds 8%, the patients should strengthen the control on their blood glucose. If its level is above 9%, it indicates that their blood glucose level is controlled poorly and it can increase the risk of developing chronic complications significantly like diabetic nephropathy and arteriosclerosis. If HbA1c increases by 1%, the incidence of cardiovascular disease will rise by 15~18% and death rate increases 20~30%.

HbA1c can eliminate the influence of blood glucose level fluctuation on the monitoring of blood glucose. For the patients with type 1 diabetes whose glucose level fluctuates frequently, HbA1c is of significance for them in monitoring their disease condition. As the blood glucose level does not rise up and down so easily in type 2 diabetes, blood glucose and urine sugar tests can reflect the control of blood glucose. However, HbA1c is still an important reference value for them.

If their patients with diabetes control their blood glucose level very well, they are recommended to do HbA1c test at least two times. However, if they need to change their treatment plan or have a poor control of blood glucose or are on insulin treatment, they should take the test every three months periodically.

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