People with diabetes may have more productive and informed conversations with their healthcare providers by having their point-of-care A1C levels checked during a routine clinic visit, if they have not had an A1C test performed in the last 3 months.However, they are not a replacement for self-monitoring of blood glucose levels at home using a glucose meter. 13 of people taking placebo saw their A1C drop below 7, compared with 38 of people taking JARDIANCE 10 mg and 39 of those taking JARDIANCE 25 mg. Point-of-care A1C machines can be used to obtain same day A1C results in the clinic or, sometimes, at home for people with diabetes. And reduced the fasting blood sugar levels (the measurement taken before breakfast) of people taking JARDIANCE alone by an average of 19 or 25 points (mg/dL).Ask your healthcare provider about your A1C target.That way, you’ll know roughly how much the results differ. Ask your provider for a laboratory measurement of your A1C to compare with the results from the point-of-care machine, especially if the results are surprising. Different machines (even machines from the same brand) may give different A1C levels.However, now special machines have been approved to measure A1C with just a fingerstick in an office, and in less than 10 minutes. ![]() Until just a few years ago, A1C levels could only be measured in a laboratory. Translating the A1C assay into estimated average glucose values. Source: Adapted from Nathan DM, Kuenen J, Borg R, et al. A1C level and estimated average blood glucose levels. For example, an A1C level of 7% reflects an estimated average blood glucose level of 154 mg/dl. The following table illustrates how A1C levels relate to average blood glucose, which is given in mmol/L (outside the United States) and mg/dl (within the United States). Levels higher than 9% usually reveal overall poor blood glucose control. Optimal A1C levels to reduce the risk of developing complications in most non-pregnant persons with diabetes are less than 7%, though older persons with multiple medications and limited mobility may have less stringent goals at less than 8%. After diagnosis, most patients should take the A1C test every 3 months, though the test might be spaced to every 6 months for patients with consistently good levels. The A1C test is an important tool for diagnosing and monitoring diabetes. ![]() Blood glucose levels fluctuate from hour to hour, day to day but the A1C level reflects the overall average and is the best test to monitor blood glucose control in the past 3 months. If there’s one number all patients with diabetes should know, it’s their hemoglobin A1c ( HbA1c or A1C) level: a measure of their overall blood glucose control for the past 3 months.
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