For someone who doesn't have diabetes, a normal A1C level can range from 4.5 to 6 percent. Someone who's had uncontrolled diabetes for a long time might have an A1C level above 8 percent.
When the A1C test is used to diagnose diabetes, an A1C level of 6.5 percent or higher on two separate tests indicates you have diabetes. A result between 5.7 and 6.4 percent is considered prediabetes, which indicates a high risk of developing diabetes.
For most people who have previously diagnosed diabetes, an A1C level of 7 percent or less is a common treatment target. Higher targets may be chosen in some individuals. If your A1C level is above your target, your doctor may recommend a change in your diabetes treatment plan. Remember, the higher your A1C level, the higher your risk of diabetes complications.
Here's how A1C level corresponds to average blood sugar level, in milligrams per deciliter (mg/dL) and millimoles per liter (mmol/L):
| A1C level | Estimated average blood sugar level |
|---|---|
| 5 percent | 97 mg/dL (5.4 mmol/L) |
| 6 percent | 126 mg/dL (7 mmol/L) |
| 7 percent | 154 mg/dL (8.5 mmol/L) |
| 8 percent | 183 mg/dL (10.2 mmol/L) |
| 9 percent | 212 mg/dL (11.8 mmol/L) |
| 10 percent | 240 mg/dL (13.3 mmol/L) |
| 11 percent | 269 mg/dL (14.9 mmol/L) |
| 12 percent | 298 mg/dL (16.5 mmol/L) |
| 13 percent | 326 mg/dL (18.1 mmol/L) |
| 14 percent | 355 mg/dL (19.7 mmol/L) |
It's important to note that the effectiveness of A1C tests may be limited in certain cases. For example:
Also keep in mind that the normal range for A1C results may vary somewhat among labs. If you consult a new doctor or use a different lab, it's important to consider this possible variation when interpreting your A1C test results.
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