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Your A1c to Blood Sugar Conversion Chart: What Your eAG Really Means

04 Sep 2025 by Marc R. Matthews, M.D.

Your A1c to Blood Sugar Conversion Chart: What Your eAG Really Means

Understanding your blood sugar levels is crucial, especially if you're managing diabetes or prediabetes. The A1c test is a key indicator, providing a snapshot of your average blood sugar over the past 2-3 months. But what do those numbers really mean, and how do they relate to your daily blood sugar readings? This article breaks down the A1c to blood sugar conversion, explaining the estimated average glucose (eAG) and what your results signify for your overall health.

What is the A1c Test?

The A1c test, also known as the glycated hemoglobin test, measures the percentage of your red blood cells that have glucose attached to them. Glucose, a type of sugar, binds to hemoglobin in red blood cells. The higher your blood sugar levels, the more glucose binds to hemoglobin. Since red blood cells live for about 3 months, the A1c test provides an average of your blood sugar control over that period. Why Won T My Blood Sugar Stabilize Common Causes And Solutions

This test differs from daily blood sugar monitoring (using a glucose meter), which gives you an immediate reading at a specific point in time. The A1c test offers a broader, more long-term perspective.

Understanding eAG: Estimated Average Glucose

The eAG, or estimated average glucose, is a calculation that converts your A1c percentage into an average blood sugar reading that you're probably more familiar with (mg/dL). Essentially, it bridges the gap between the A1c percentage and the average blood sugar you'd see on your glucose meter. This makes it easier to understand and manage your diabetes.

The A1c to eAG Conversion Chart

Here's a handy chart converting A1c percentages to their corresponding eAG values:

A1c (%) Estimated Average Glucose (eAG) (mg/dL) Interpretation
5.0% 97 mg/dL Normal
5.5% 114 mg/dL Normal
5.7% 117 mg/dL Prediabetes
6.0% 126 mg/dL Prediabetes
6.5% 140 mg/dL Diabetes
7.0% 154 mg/dL Diabetes (Target Goal for Many)
7.5% 169 mg/dL Diabetes
8.0% 183 mg/dL Diabetes (Needs Improvement)
9.0% 212 mg/dL Diabetes (Poorly Controlled)
10.0% 240 mg/dL Diabetes (Poorly Controlled)
11.0% 269 mg/dL Diabetes (Very Poorly Controlled)
12.0% 298 mg/dL Diabetes (Very Poorly Controlled)

Note: These values are approximate and can vary slightly.

What Do Your A1c Results Mean?

  • Normal: An A1c level below 5.7% is considered normal.
  • Prediabetes: An A1c level between 5.7% and 6.4% indicates prediabetes, meaning you have a higher risk of developing type 2 diabetes. Lifestyle changes like diet and exercise are crucial at this stage.
  • Diabetes: An A1c level of 6.5% or higher indicates diabetes. Your doctor will recommend a treatment plan, which may include medication, diet, and exercise.

It's important to remember that the target A1c level for people with diabetes is often below 7.0%, but your individual target may be different depending on your age, health conditions, and other factors. Consult with your healthcare provider to determine the best target for you.

Factors Affecting A1c Test Results

Certain conditions can affect the accuracy of your A1c test results:

  • Anemia: Some types of anemia can falsely lower A1c levels.
  • Hemoglobinopathies: Conditions like sickle cell anemia can interfere with the test.
  • Kidney Disease: Kidney disease can affect A1c results.
  • Pregnancy: A1c targets are often lower during pregnancy.

If you have any of these conditions, your doctor may use other tests to monitor your blood sugar control. How To Read A Blood Glucose Meter With Total Confidence

How to Lower Your A1c

If your A1c level is higher than your target, there are several steps you can take to lower it:

  1. Follow a Healthy Diet: Focus on whole foods, including fruits, vegetables, and whole grains. Limit sugary drinks, processed foods, and unhealthy fats. A registered dietitian can help you create a personalized meal plan.
  2. Exercise Regularly: Aim for at least 150 minutes of moderate-intensity exercise per week. Activities like walking, swimming, and cycling can help lower blood sugar levels.
  3. Take Medications as Prescribed: If you have diabetes, take your medications as prescribed by your doctor. Do not skip doses or change your dosage without consulting your healthcare provider.
  4. Monitor Your Blood Sugar: Regularly check your blood sugar levels using a glucose meter. This will help you understand how your diet, exercise, and medications affect your blood sugar.
  5. Manage Stress: Stress can raise blood sugar levels. Practice stress-reducing techniques like meditation, yoga, or deep breathing exercises.
  6. Get Enough Sleep: Lack of sleep can affect blood sugar control. Aim for 7-8 hours of sleep per night.

Why Regular A1c Testing is Important

Regular A1c testing is crucial for managing diabetes effectively. It allows you and your healthcare provider to assess your blood sugar control over time and make necessary adjustments to your treatment plan. The frequency of A1c testing depends on your individual needs. Generally, it is recommended:

  • For people with diabetes who are meeting their treatment goals: Twice a year.
  • For people with diabetes whose treatment plan has changed or who are not meeting their goals: Every three months.
  • For people with prediabetes: At least once a year.

The Importance of Communication with Your Healthcare Provider

Understanding your A1c to blood sugar conversion is a valuable tool, but it’s not a substitute for professional medical advice. Always discuss your A1c results with your doctor or healthcare provider. They can help you interpret your results, set appropriate goals, and adjust your treatment plan as needed. Don't hesitate to ask questions and be proactive in managing your health.

Conclusion

The A1c test is an essential tool for monitoring blood sugar control, especially for those with diabetes or prediabetes. Understanding the A1c to blood sugar conversion and the concept of eAG can empower you to take control of your health. By following a healthy lifestyle, working closely with your healthcare provider, and understanding your A1c results, you can effectively manage your blood sugar levels and reduce your risk of long-term complications. Remember, knowledge is power when it comes to managing your health. Prediabetes Range Are You At Risk What To Do Next

References and Further Reading