A1c

[Emmasmommy]

Hi all well today Emma went for her 2 month A1C and it was 8.1 they are thrilled and so was I untill I found a chart that tells you what that means in regards to av. bg 8.1=11.8 Not as good as they said it was !!! They said that her target for her age is 9.0 and that the clinic av. is 8.3 so they are very happy. My question for all you parents out there is what have your kids A1C been and what does your clinc want them at. (more directed at young kids)

Heres the chart if anyone is interested.

Hb-A1c 4.0 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9
mg/dl 65 69 72 76 79 83 86 90 93 97

mmol/l 3.6 3.8 4.0 4.2 4.4 4.6 4.8 5.0 5.2 5.4


Hb-A1c 5.0 5.1 5.2 5.3 5.4 5.5 5.6 5.7 5.8 5.9
mg/dl 101 104 108 111 115 118 122 126 129 133

mmol/l 5.6 5.8 6.0 6.2 6.4 6.6 6.8 7.0 7.2 7.4


Hb-A1c 6.0 6.1 6.2 6.3 6.4 6.5 6.6 6.7 6.8 6.9
mg/dl 136 140 143 147 151 154 158 161 165 168

mmol/l 7.6 7.8 8.0 8.2 8.4 8.6 8.8 9.0 9.2 9.4


Hb-A1c 7.0 7.1 7.2 7.3 7.4 7.5 7.6 7.7 7.8 7.9
mg/dl 172 176 180 183 186 190 193 197 200 204

mmol/l 9.6 9.8 10.0 10.2 10.4 10.6 10.8 11.0 11.2 11.4

Hb-A1c 8.0 8.1 8.2 8.3 8.4 8.5 8.6 8.7 8.8 8.9
mg/dl 207 211 215 218 222 225 229 232 236 240

mmol/l 11.6 11.8 12.0 12.2 12.4 12.6 12.8 13.0 13.2 13.4


Hb-A1c 9.0 9.5 10.0 10.5 11.0 11.5 12.0 12.5 13.0 13.5
mg/dl 243 261 279 297 314 332 350 368 386 403

mmol/l 13.6 14.6 15.6 16.6 17.5 18.5 19.5 20.4 21.4 22.4

Blue is US bg and Red is Canadian

Hope this helps some

[lgvincent]

I don't consider it to be bad and it will get better over time.

[SueM]

Hiya I was always told that childrens A1c's are kept slightly higher due to the amount of exercise/growth/food needed by a growing child. The slightly higher A1c is a safe guard against bad hypo's.
Sounds as if you and your little one are doing a great job.

[Cyborg]

There is also an a1c to average bg conversion calculator on this forum.

[diamum]

My sons last check up showed 7,2 we think thats great our clinic said under 7 would be perfect but 7,2 is excellent.. before he's been between 8-9 and that has always been excepted. He is 7yrs

This varies a lot from person to person and what is good for one might not be for another depending on how easy they are to regulate.. and often the hba1c is not what you expect when you go to check it...

[mark-TN]

It is important to remember that the A1c test has not been standardized yet (and probably never will be). Each lab will have a different reference range depending on the machine and essay they use. So even if your A1c is the exact same number as someone else’s they could mean totally different things. It is important to look at the reference range for the lab that does your A1c test and to ask the lab or your doctor for the correct formula (or chart) that corresponds to the lab result.

Bernstein uses the following formula (also corresponds to the chart the ADA uses):

(A1c x 35.6)-77.3=Estimated Average Blood Glucose
or
(average blood glucose + 77.3) / 35.6 = Estimated A1c

Another easy way to remember this formula (or chart) with out actually remembering the formula (or chart) is to remember this simple rule: An A1c of 5.0 = 100 mg/dl, every full % variance from this equals +/- 35 mg/dl. So an A1c of 6.0% = 100 +(1 x 35) or 135mg/dl. An A1c of 6.5% = 100 + (1.5 x 35) or 153mg/ dl. An A1c of 4.9% = 100 –(.1 x 35) or 97mg/dl, etc.

The formula that corresponds to the lab my doctor uses is totally different:

(A1c x 33.3)-86= Estimated Average Blood Glucose
or
(average blood glucose + 86) / 33.3 = Estimated A1c

So be sure to get the reference range from your doctor and make sure you ask him/her what formula (or chart) corresponds to their labs A1c value. It may be the same as one of the above or it may be totally different, but you will only know if you ask.

Mark