Tips and advice

About HbA1c

HbA1c is a term you might hear used a lot when discussing diabetes. It’s generally used to assess how well managed your diabetes is, and if any changes need to be made to your management plan. Read on to find out more about HbA1c and how it can be helpful.

HbA1c and how it help can with diabetes management.
HbA1c and how it help can with diabetes management.
HbA1c and how it help can with diabetes management.

What is HbA1c?1

Haemoglobin A1c (or HbA1c) is a very important measurement for monitoring your diabetes. In your blood, glucose and haemoglobin (the protein in your red blood cells) bind together. This new molecule is called glycated haemoglobin, shortened to HbA1c. If your blood glucose levels are high, more glucose will bind to your haemoglobin, causing your HbA1c levels to increase.

When you have an HbA1c test, this indicates how much glucose has been in your blood over roughly the last three months.

What is HbA1c monitoring?

HbA1c monitoring is done by a healthcare professional using either a finger prick or a blood sample. HbA1c levels may be written as a percentage (%) or as ‘millimoles per mole’ (mmol/mol).2 

HbA1c measurements can be used to diagnose diabetes. If you already have diabetes, your doctor may use these measurements to decide on your treatment plan, and help you set a target to lower your HbA1c. They will then regularly check your HbA1c levels to assess whether the plan needs to be updated.1,2 

What is an optimal HbA1c range?3

Optimal

An optimal HbA1c is below 5.7% (39 mmol/mol).

Pre-diabetes

HbA1c between 5.7–6.4% (39–47 mmol/mol) indicates pre-diabetes. This means you are at risk of developing diabetes.

Diabetes

HbA1c of 6.5% (48 mmol/mol) or above indicates diabetes.

Why is HbA1c monitoring important?1

In general, higher HbA1c levels mean you are at higher risk for developing long-term complications of diabetes. These include:

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Heart disease and stroke

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Foot problems

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Eye problems (retinopathy)

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Kidney problems (nephropathy)

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Nerve damage (neuropathy)

It’s therefore important that your HbA1c is checked regularly to make sure your diabetes is being well managed. Your doctor will advise you how often you should have your HbA1c levels checked.

1–2 serves of Glucerna per day has been clinically shown to help reduce HbA1c levels within 6 months for type 2 diabetes.*4

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Glucerna is Food for Special Medical Purposes. Use under medical supervision.

*As part of a lifestyle intervention including diet, exercise and motivational interviewing.

References: 1. Health Direct. HbA1c test. 2020. Available online at: https://www.healthdirect.gov.au/hba1c-test. 2. The Royal Australian College of General Practitioners. Management of type 2 diabetes: A handbook for general practice. 2020. Available online at: https://www.racgp.org.au/getattachment/41fee8dc-7f97-4f87-9d90-b7af337af778/Management-of-type-2-diabetes-A-handbook-for-general-practice.aspx. Accessed May 2023. 3. American Diabetes Association. Standards of Care in Diabetes 2023. Diabetes Care. 2023;46(Suppl.1):S1-291. 4. 4. Chee WSS, et al. BMJ Open Diabetes Res Care. 2017;5:e000384. 5. Better Health Channel. Diabetes. Available at: https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/diabetes. Accessed May 2023.