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Glycated hemoglobin testing is recommended for both checking the blood sugar control in people who might be prediabetic and monitoring blood sugar control in patients with more elevated levels, termed diabetes mellitus. For a single blood sample, it provides far more revealing information on glycemic behavior than a fasting blood sugar value.
Fasting prior to glucose testing may be required with some test types. Fasting blood sugar test, for example, requires 10–16 hour-long period of not eating before the test. [1] Blood sugar levels can be affected by some drugs and prior to some glucose tests these medications should be temporarily given up or their dosages should be decreased.
Glycated hemoglobin (hemoglobin A1c or Hb A1c), a surrogate marker for blood glucose levels; Rivian A1C, a prototype vehicle; NASA A1C spacesuit, an Apollo variant of the Gemini spacesuit; Airman first class, an enlisted rank in the U.S. Air Force; A1C, a postal code in Downtown St. John's, Newfoundland Island, Canada
Results are in μg/mL. Lower values indicate worsening glucose control, with more frequent and prolonged glucose values over 180 mg/dL. 10 μg/mL of 1,5-AG correlates to an average post meal glucose of 185 mg/dL, and is the target value in people with diabetes. Values over 10 μg/mL indicate glucose on average is below 180 mg/dL.
A fasting or random blood sugar is preferred over the glucose tolerance test, as they are more convenient for people. [10] HbA 1c has the advantages that fasting is not required and results are more stable but has the disadvantage that the test is more costly than measurement of blood glucose. [69]
Blood glucose monitoring is the use of a glucose meter for testing the concentration of glucose in the blood . Particularly important in diabetes management , a blood glucose test is typically performed by piercing the skin (typically, via fingerstick ) to draw blood, then applying the blood to a chemically active disposable 'test-strip'.
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