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Is HbA1c Level Of 114 A Cause For Concern?

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Posted on Tue, 8 Nov 2016
Question: I have just been diagnose with Diabetes Type 2 and my HbA1c is 114 what does this mean in percentages
doctor
Answered by Dr. Panagiotis Zografakis (1 hour later)
Brief Answer:
please clarify your question...

Detailed Answer:
Hello,

I'll be glad to explain anything you want to know about diabetes but I need to understand your question. What do you mean by 'percentages'? Are you referring to complications rate for example? Or do you want me to comment on your HbA1c? By the way 114 is not a value for HbA1c unless you meant 11.4%.

114 would be valid for blood glucose in mg/dL (or mg%).

If your HbA1c is indeed 11.4% then it's sky high and I doubt that metformin alone would get it even close to the target level (which is equal to or lower than 7%), unless you're obese with really bad diet and want to change both your diet and weight. In such cases impressive HbA1c have been noted.

Please clarify your situation...
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (13 minutes later)
I had a gluecose blood test and was told that was 114
doctor
Answered by Dr. Panagiotis Zografakis (9 minutes later)
Brief Answer:
that's different...

Detailed Answer:
114 is not normal. Whatever is higher than 100 is not normal... But it's not enough to diagnose diabetes. If you don't have a high HbA1c (consistent with the diagnosis of diabetes) then an oral glucose tolerance test (OGTT) would be required. The OGTT consists of two measurements of blood sugar. The first one should be fasting. Then you'll have to consume 75 grams of glucose and measure the blood sugar two hours later. If the fasting blood glucose is equal to or higher than 126mg% or the 2 hour blood glucose is equal to or higher than 200mg% then it would be diabetes. Any fasting value between 100-125 and post-prandial (at 2 hours) between 140-199 are considered to not normal. We call this condition 'prediabetes'. This is not diabetes but it may evolve to diabetes. It does not require drug treatment. Only lifestyle changes are required (weight loss, proper diet and physical activity).

I hope it helps!
Please contact me again, if you'd like more information.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (20 minutes later)
I am having a fasting blood test on tuesday morning,but I cannot seem to find how to convert 114 HbA1c to 6 .5 % as my friend said that she is 95 thank you for your time.

Kind regards XXXXXXX
doctor
Answered by Dr. Panagiotis Zografakis (40 minutes later)
Brief Answer:
there is no reason to convert it!

Detailed Answer:
114 corresponds to 5.6% in HbA1c but it doesn't make any difference. 6.5% corresponds to a mean glucose level of 140. The mean glucose level is not important regarding diagnosis. You get diagnosed with diabetes when the conditions I've described in my previous answer apply (fasting>126, postprandial>200). I hope it's more clear now...

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3819 Questions

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Is HbA1c Level Of 114 A Cause For Concern?

Brief Answer: please clarify your question... Detailed Answer: Hello, I'll be glad to explain anything you want to know about diabetes but I need to understand your question. What do you mean by 'percentages'? Are you referring to complications rate for example? Or do you want me to comment on your HbA1c? By the way 114 is not a value for HbA1c unless you meant 11.4%. 114 would be valid for blood glucose in mg/dL (or mg%). If your HbA1c is indeed 11.4% then it's sky high and I doubt that metformin alone would get it even close to the target level (which is equal to or lower than 7%), unless you're obese with really bad diet and want to change both your diet and weight. In such cases impressive HbA1c have been noted. Please clarify your situation...