HbA1c

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HbA1c

What is HbA1c?
HbA1C (Glycated Haemoglobin) is an important blood test used to indicate long term blood
glucose control. It differs from a normal blood glucose test.

Haemoglobin is located in a person’s red blood cells, and is responsible for transporting oxygen
around the body. Glucose molecules attach to the haemoglobin, making it become “glycated”.

When a person with diabetes has blood glucose levels that are generally within the target range,
there will be a close to normal amount of glucose attached to their red blood cells.

When a person with diabetes generally has higher blood glucose levels, there will be more
glucose molecules attached to their red blood cells. Hba1c is measured as a percentage
depending on how much glucose is attached to the red blood cells.

How often?
Because the body replaces its red blood cells every three months it is recommended that
this test be done four times a year at clinic visits. PCH has point of care testing, meaning
the Hba1c can be measured by performing a finger prick to obtain the blood sample.

Why monitor?
The Hba1c can tell us how much glucose on average has been circulating in a person’s
blood stream over the last 3 months. All the evidence suggests that maintaining optimal
blood glucose control and having an Hba1c of 7% or below will significantly decrease the
risk of diabetes related complications.
The target Hba1c at PCH is ≤7%
This blood test does not replace the need for self-monitoring of blood glucose levels,
which remains essential for diabetes management. It is also important to ensure blood
glucose levels are in range for as much time as possible.

Contact details
For further information contact your Diabetes Nurse Educator or Doctor.

This document can be made available in alternative formats


on request for a person with a disability.

Child and Adolescent Health Service


15 Hospital Avenue, Nedlands, WA, 6009
Telephone: (08) 6456 2222
Produced by Endocrinology and Diabetes
Ref: 201 © CAHS 2018

Disclaimer: This publication is for general education and information purposes.


Contact a qualified healthcare professional for any medical advice needed.
© State of Western Australia, Child and Adolescent Health Service

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