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HbA1c

FarhatMalik said:
if Hb1AC is 6.7 and person is not diabetic , what does it mean. What tests next
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  • How was it decided that the person was not diabetic with HbA1c at 6.7%?
  • Was a Oral glucose tolerance test with insulin assay performed?
  • What was the fasting insulin and glucose level?
 
Hi @FarhatMalik and welcome to the forum. If the HbA1c test result is 6.7 mmol/L it would mean the person is non-diabetic, or normal.
Below 7.0 is non-diabetic. 7.0 - 7.7 is pre-diabetic (in danger of becoming diabetic), above 7.7 is diabetic.
 
FarhatMalik said:
if Hb1AC is 6.7 and person is not diabetic , what does it mean. What tests next
Click to expand...
HbA1c of 6.5 % and above is usually diagnosed as diabetes. Next test may be a repeat test within a couple of weeks to confirm.
Looking for the NICE guidelines I've read saying this.

If the result is 6.7 mmol/L this is an HbA1c of 5.8 % or 40 (IFCC) and is a non diabetic result.

Welcome to the forum @FarhatMalik .
 
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FarhatMalik said:
if Hb1AC is 6.7 and person is not diabetic , what does it mean. What tests next
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Hi,

My question would be, what sort of test did you partake for a result of "6.7"?
1. A finger prick & blood drawn to a hand held BG meter?
Or
2. Blood sample drawn from a vein, then sent off for a lab test which works out your average for the past 3 months?
 
b34 blues said:
Last 2 days my reading have been 9.0 and 8.2
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If that is your fasting reading...ie first reading before meal in the morning...then it is high. With a more mindful carbs lite fats friendly diet, especially light dinner, your reading can improve noticeably within weeks...for some even days.
 
FarhatMalik said:
if Hb1AC is 6.7 and person is not diabetic , what does it mean. What tests next
Click to expand...

Sorry @FarhatMalik I think you have been getting different answers because different types of blood test are measured in different units. Hopefully the image below will help you to understand.

Different parts of the world use different units of measurement, and then different types of test use different measurements too.
There are:
Finger prick blood tests, often done at home, giving a 'snapshot' reading (use mmol/l readings in the UK)
HbA1c blood tests, always require a blood sample sent to the lab, showing an average reading over 2-3 months. (use mmol/mol and % units in the UK)
Fasting blood tests, sometimes done at doctors, with samples sent to lab, sometimes done at home. These are done after about 10 hours not eating, often in the morning. (use mmol/l in the UK)

If you know which test you are talking about, and can identify that on the image below, you can find out if your readings are in the diabetic range.

Hope that helps.
hba1c-chart.jpg


You can find information on this page to tell you what the readings mean.
http://www.diabetes.co.uk/what-is-hba1c.html
 
b34 blues said:
No that was in the evening a few hours after I had eaten
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That would be a rather typical range for those of us with diabetes and having a regular low fat moderate carbs diet. A normal non-diabetic person will seldom exceed 7 mmol hours after their meals. Even when taking large amount of carbs.

Even for me now...after larger amount of carbs, I would spike to 10 mmol or higher within 2 hours but it would return to < 5 mmol after 3-4 hours.
 
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