A good control of diabetes mellitus is necessary to improve the quality of life of people with diabetes and prevent the occurrence of complications later. In addition to dieting, exercise and drug use as directed by a physician, good diabetes mellitus control can be achieved by conducting regular health evaluations such as by examining fasting blood glucose and glucose 2 hours, and performing HbA1c examination.
HbA1c (hemoglobin A1c) or glycated hemoglobin is a hemoglobin that binds to glucose (sugar). In the blood, naturally glucose binds to each other with hemoglobin in the red blood cells.
The amount of HbA1c is balanced with blood sugar levels. So, the higher the blood sugar level, the HbA1c levels will increase. HbA1c can measure the average blood sugar level for three months.
So, HbA1c examination is an important blood test to see how well the treatment of diabetes is. This means that examination of Hemoglobin A1C will describe the average blood sugar during the last 2 to 3 months and is used in conjunction with regular blood sugar checks to make adjustments in the control of diabetes mellitus.
HbA1c examination results are not affected by food, medication or exercise intake, so people with diabetes can do HbA1c at any time without special preparation. For HbA1c examination a blood sample is taken from a vein in the arm.
If the results of HbA1c examination is less than 6 percent, it is said to be included in the normal category or free of diabetes. If HbA1c levels are between 6 to 6.4 percent, enter the prediabetes category. In these conditions have to make lifestyle changes to avoid becoming a diabetic. Meanwhile, if the level of HbA1c more than 6.5 percent then the category of diabetes mellitus.
For diabetics, generally expected with a good treatment HbA1c levels can fall to 6.5 percent and it is advisable to do this HbA1C check every three months. This aims to determine whether your blood sugar level has reached the desired target or not.
People with diabetes mellitus have a high risk of complications. By reducing HbA1c levels, it can help reduce the risk of complications including diabetic retinopathy (eye retinal disorders), diabetic neuropathy (neurological disorders, especially at the tips of the fingers which often make the hands tingle), and diabetic nephropathy (diabetes due to kidney disease).