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HbA1c is a term commonly used in relation to diabetes. This guide explains what HbA1c is, how it differs from blood glucose levels and how it’s used for. It’s often viewed as the number to rule all numbers. But hemoglobin A1c (HbA1c) test results can be misleading and don’t tell the full story. Hemoglobin A1c (HbA1c) has been a standard test of long-term average blood glucose control for patients with type 2 diabetes (T2D) for more.

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New (More Moderate) Guidelines for HbA1c Levels

The American College of Physicians ACP has issued new guidelines regarding the target blood hg1ac control levels for people with type 2 diabetes who are not pregnant, and the recommendations aim for a more moderate target. The hemoglobin A1C HbA1c test is frequently used in people with type 2 diabetes as a measure of how their blood sugar is controlled.


The latest research indicates that a slightly higher A1c level does not negatively impact patients and does not increase the risk of death, heart attacks, stroke, kidney failure, visual impairmentamputations, or neuropathy, according to Dr. Jack Ende, the president of the ACP.

What is HbA1c? – Definition, Units, Conversion, Testing & Control

While medications that lower blood sugar can diabetex many people with type 2 diabetes, all medications have the potential to cause nb1ac effects. The most common side effect from medications is that they may lower blood sugar too much, causing episodes of hypoglycemia.

In addition, for people with type 2 diabetes who are 80 years or older, and those who have chronic conditions like dementia, cancer, chronic obstructive pulmonary disease COPDor congestive heart failure, the new guidelines recommend that treatment should focus on reducing their symptoms from high blood sugar rather than focusing on HbA1c levels. For these individuals, the risk of side effects from medications that lower blood sugar outweigh the advantages.


While the new guidelines focus on medication strategies to control blood sugar, Dr. Ende notes that for many people, a lower A1C target can be achieved through lifestyle modifications, including dietary changesexerciseand weight loss.

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Hemoglobin A1c targets for glycemic control with pharmacologic therapy for dabetes adults with type 2 diabetes mellitus: Microvascular and macrovascular complications of diabetes.

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