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Is FBS Or HbA1C Reading To Be Considered When Diagnosing Diabetes?

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Posted on Tue, 12 Sep 2017
Question: Hemoglobin A1C or Glucose Fasting? Which one is more reliable?

My Glucose Fasting is 5.6 mmol/L and my Hemoglobin is 5.4 % which one is more reliable reading?

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Answered by Dr. Mirjeta Guni (2 hours later)
Brief Answer:
About blood glucose ranges:

Detailed Answer:
Hello and thank you for asking!

Fasting, postprandial blood glucose ( in 2 measurements) and HbA1C, all of them should be taken into consideration to judge about pre diabetes or Diabetes.

If fasting blood sugar is high and HbA1c is normal, it means that there are moments during the day when the blood sugar is lower than normal ( hypoglycemia) and HbA1c results normal.

There are also cases with normal fasting blood sugar but high HbA1C. It means that postprandial may be high.

That is why all of them should be taken into consideration.

In your case, 5.6 is the upper normal range and HbA1C is normal.

Hope the information will help.
Kind regards,
Dr.Mirjeta

Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Mirjeta Guni

Endocrinologist

Practicing since :2006

Answered : 2413 Questions

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Is FBS Or HbA1C Reading To Be Considered When Diagnosing Diabetes?

Brief Answer: About blood glucose ranges: Detailed Answer: Hello and thank you for asking! Fasting, postprandial blood glucose ( in 2 measurements) and HbA1C, all of them should be taken into consideration to judge about pre diabetes or Diabetes. If fasting blood sugar is high and HbA1c is normal, it means that there are moments during the day when the blood sugar is lower than normal ( hypoglycemia) and HbA1c results normal. There are also cases with normal fasting blood sugar but high HbA1C. It means that postprandial may be high. That is why all of them should be taken into consideration. In your case, 5.6 is the upper normal range and HbA1C is normal. Hope the information will help. Kind regards, Dr.Mirjeta