🩸 Glucose & HbA1c Diagnosis
UseTranslate an A1c into an estimated average glucose and check it against the diagnostic thresholds.
SourceAmerican Diabetes Association. Standards of Care — Classification and Diagnosis
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
Point-of-care A1c is not for diagnosis — use a lab NGSP-standardised method.
When to use
Translate an A1c into an estimated average glucose and check it against the diagnostic thresholds.
How it works
eAG (mg/dL) = 28.7 × A1c − 46.7. Diabetes A1c ≥ 6.5%, FPG ≥ 126 mg/dL, OGTT 2 h ≥ 200; prediabetes A1c 5.7–6.4%.
Key points
- Point-of-care A1c is not for diagnosis — use a lab NGSP-standardised method.
- Without symptoms, two abnormal results are needed to diagnose.
- Anaemia/haemolysis/transfusion/Hb variants/pregnancy/CKD distort A1c.
- Gestational diabetes uses dedicated criteria.
References
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| HbA1c | 7.0 % |
|---|
→Estimated average glucose (eAG)154 mg/dL (8.5 mmol/L)
- A1c category:Diabetes range (≥ 6.5%, confirm with a repeat test)
- Diagnose diabetes (any one):A1c ≥ 6.5%; FPG ≥ 126 mg/dL (7.0); OGTT 2 h ≥ 200 (11.1); random ≥ 200 (11.1) + classic symptoms
- Prediabetes:A1c 5.7–6.4%; IFG 100–125 mg/dL (5.6–6.9); IGT 2 h 140–199 (7.8–11.0)
Verification & sources · governance
FAQ
Frequently asked questions
- What are the limits and cautions when using Glucose & HbA1c Diagnosis?
- For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
- Does Glucose & HbA1c Diagnosis upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is Glucose & HbA1c Diagnosis calculated in practice? Can you show a worked example?
- Inputs: HbA1c 7.0 % → Result: Estimated average glucose (eAG) 154 mg/dL (8.5 mmol/L)(A1c category: Diabetes range (≥ 6.5%, confirm with a repeat test), Diagnose diabetes (any one): A1c ≥ 6.5%; FPG ≥ 126 mg/dL (7.0); OGTT 2 h ≥ 200 (11.1); random ≥ 200 (11.1) + classic symptoms, Prediabetes: A1c 5.7–6.4%; IFG 100–125 mg/dL (5.6–6.9); IGT 2 h 140–199 (7.8–11.0))