Decoding Your A1C Levels: A Simple Chart and Conversion Guide

23 Aug 2025

Decoding Your A1C Levels: A Simple Chart and Conversion Guide Understanding your A1C level is crucial for managing diabetes or pre-diabetes. An A1C te...

Decoding Your A1C Levels: A Simple Chart and Conversion Guide

Understanding your A1C level is crucial for managing diabetes or pre-diabetes. An A1C test provides an average measure of your blood sugar control over the past 2-3 months. This article will break down what A1C is, provide a simple chart for easy interpretation, and guide you through the conversion between A1C and estimated average glucose (eAG).

What is A1C and Why Does It Matter?

A1C, also known as glycated hemoglobin, represents the percentage of your red blood cells that have glucose attached to them. The higher your blood sugar levels over time, the more glucose binds to your red blood cells. Because red blood cells live for about three months, the A1C test reflects your average blood sugar levels during that period.

Knowing your A1C helps:

  • Diagnose Diabetes: A1C is a standard diagnostic tool for diabetes and pre-diabetes.
  • Monitor Blood Sugar Control: It's an effective way to see how well your current treatment plan is working.
  • Reduce Long-Term Complications: Keeping your A1C within the target range can help prevent or delay long-term complications associated with diabetes, such as kidney disease, nerve damage, and heart problems.

A1C Levels Chart: Understanding Your Results

This chart provides a quick reference guide to understanding your A1C levels.

A1C Level Category What it Means
Below 5.7% Normal Indicates normal blood sugar levels.
5.7% - 6.4% Pre-diabetes Indicates a higher risk of developing diabetes. Lifestyle changes like diet and exercise are highly recommended.
6.5% or higher Diabetes Indicates diabetes. A healthcare professional should develop a treatment plan, which may include medication, diet, and exercise.

It's important to note that these are general guidelines. Your target A1C range may vary depending on individual factors, such as age, other health conditions, and the type of diabetes medication you are taking. Consult with your doctor to determine your personal target.

A1C to eAG Conversion: Understanding the Connection

While A1C provides a percentage, eAG (estimated average glucose) translates that percentage into a blood sugar reading that you might be more familiar with, such as milligrams per deciliter (mg/dL) or millimoles per liter (mmol/L). This makes it easier to relate the A1C results to your daily blood sugar monitoring.

The relationship between A1C and eAG is linear. The conversion formula is:

  • eAG (mg/dL) = (28.7 x A1C) - 46.7
  • eAG (mmol/L) = (1.59 x A1C) - 2.59

Related reading: Fasting Blood Sugar Test How To Prepare For The Most Accurate Results

Here's a table showcasing common A1C to eAG conversions:

A1C (%) eAG (mg/dL) eAG (mmol/L)
6.0 126 7.0
7.0 154 8.6
8.0 183 10.1
9.0 212 11.8
10.0 240 13.4
11.0 269 15.0
12.0 298 16.7

Many online calculators and mobile apps can also easily perform this conversion for you.

Factors Affecting A1C Accuracy

While A1C is generally a reliable indicator of blood sugar control, certain conditions can affect its accuracy:

Related reading: The Most Comprehensive Faq For Blood Sugar Ever Written

  • Anemia: Conditions that affect red blood cell turnover, such as anemia, can alter A1C results.
  • Hemoglobin Variants: Certain genetic hemoglobin variants can interfere with A1C testing.
  • Kidney Disease: Kidney disease can affect the lifespan of red blood cells, potentially leading to inaccurate results.
  • Pregnancy: A1C targets during pregnancy are typically lower than for non-pregnant individuals.

If you have any of these conditions, discuss alternative methods of monitoring your blood sugar with your doctor.

Next Steps After Getting Your A1C Results

  • Consult with Your Doctor: Discuss your A1C results with your healthcare provider. They can help you interpret your results in the context of your overall health and medical history.
  • Adjust Your Treatment Plan: If your A1C is not within your target range, your doctor may recommend adjustments to your medication, diet, or exercise regimen.
  • Regular Monitoring: Regularly monitor your blood sugar levels as recommended by your doctor and schedule regular A1C tests to track your progress.
  • Lifestyle Changes: If you have pre-diabetes or diabetes, focus on making healthy lifestyle changes, such as eating a balanced diet, engaging in regular physical activity, and managing stress.

Related reading: Lifestyle Hacks Beyond Diet To Stabilize Your Blood Sugar For Good

Understanding your A1C levels is a crucial step in managing your blood sugar and preventing long-term complications. By using the chart and conversion guide provided in this article, you can better understand your results and work with your doctor to develop an effective treatment plan. Remember, managing diabetes is a collaborative effort between you and your healthcare team.