HbA1c converter: from percentage to average glucose
HbA1c (glycated hemoglobin) is the most important test for diabetes management. It measures the percentage of hemoglobin with attached glucose and reflects the average blood sugar over the past 2-3 months.
Value interpretation
- Below 5.7%: normal, no diabetes.
- 5.7% – 6.4%: prediabetes. Increased risk.
- 6.5% or above: diabetes. Confirmed with a second test.
- Target for people with diabetes: generally <7% (per ADA).
- Stricter target in young people without hypoglycemia: <6.5%.
Converting HbA1c to average glucose
ADAG formula (Average Daily Glucose): Average glucose (mg/dL) = 28.7 × HbA1c − 46.7. Example: HbA1c of 7% = 154 mg/dL average glucose. In mmol/L: Glucose = 1.59 × HbA1c − 2.59.
HbA1c limitations
HbA1c does not capture glycemic variability (blood sugar spikes and dips). A person can have normal HbA1c with frequent nocturnal hypoglycemia or postprandial hyperglycemia. That is why continuous glucose monitoring (CGM) complements HbA1c in modern diabetes management.