DIABETES: THE IMPORTANCE OF GLYCATED HEMOGLOBIN
Diabetes is an insidious and progressive disease with dramatic complications (blindness, kidney disease, vascular accidents, arteritis, etc.) .
The essential follow-up of the evolution of the blood sugar level
To have the best follow-up of the blood sugar level over time and to check the therapeutic effectiveness of the treatments put in place, it is essential to have a reliable and retrospective indicator which makes it possible to signal all the deviations over a period of 3 months.
The most reliable indicator at present is the measurement of glycated hemoglobin or HbA1c.
HbA1c: what is it?
Hemoglobin gives blood its red color and allows red blood cells to carry oxygen to organs in the body.
It also makes it possible, through its physico-chemical reaction with blood glucose (glycosylation) , to know the evolution of glycemia (blood glucose level) over time.
Hb1c (glycated hemoglobin) is the most suitable form of hemoglobin because it records variations in the average blood sugar level throughout the life of the red blood cells . Hemoglobin HbA1c
therefore best reflects glycemic control over a period of 3 months.
Importance of HbA1c
The dosage of glycated hemoglobin is therefore essential:
to see the follow-up of the hygiene and dietary measures recommended to patients,
to monitor the effectiveness of prescribed treatments ,
to best judge the risk of complications of the disease.
Glycated hemoglobin: the numbers to respect
The normal HbA1c value is between 3.5% and 6% .
The ideal: do not exceed the figure of 7% . The higher the value, the greater the risk of complications from diabetes .
When your level exceeds 7%, you should consult your doctor to put in place the appropriate measures ( diet , sport, adjustment of the dosages of your medications) .
Glycated hemoglobin: to remember
For diabetics, it is recommended to measure the HbA1c level every 3 months.
A 1% decrease in the HbA1c level reduces the risk of complications by 20%.
The rate decreases by about 1% during pregnancy.
If, despite all the measures taken, your level is still higher than 7%, your doctor may need to treat you with insulin .

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