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Hemoglobin A1c

Endocrine
Normal range
< 5.7% normal · 5.7–6.4% prediabetes · ≥ 6.5% diabetes · goal on treatment usually < 7%
☎ When to call

Never an on-shift escalation — it shapes the discharge plan and education.

What you do
  • The 3-month story — use it for teaching conversations, not shift decisions
  • Rough mapping: 7% ≈ 154 mg/dL average; each +1% ≈ +29 mg/dL
Causes of HIGH hemoglobin a1c
3-month average glucose elevation — diabetes control
Causes of LOW hemoglobin a1c
Tight control, or falsely low with anemia/hemolysis/transfusion
Source: ADA Standards of Care; Pagana, 7th ed.Reference only — verify against your facility's policy.

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