Glycated hemoglobin (Glycosylated Haemoglobin - HbA 1c).. Give an indication of the percentage of sugar in the blood during the life of red blood cells

Glycated hemoglobin is a protein (globulin) is linked with the iron in the set (Haem ) And protein (hemoglobin) is linked to glucose sugar and there are many types of hemoglobin, but what concerns us is the A1c Because it is characterized by being linked with glucose, where linked to a small percentage of hemoglobin not exceed 5 - 10% of the hemoglobin blood Bjlokoz and this is called the associated part(HbA1c ).
Link glucose hemoglobin Batmd level in the blood, the more Zhadat increased glucose ratio (HbA1c ), But this link is slowly and ever-slowly, and are not affected portable sugar diets and gives us an indication of the percentage of sugar in the blood during the life of red blood cells, which is about 120 days, and the natural rate ranging
Between 5 - 8% increase in diabetes in the case of non-attendance in treatment as well as in diabetes type I if the patient is in the need to increase the dose of the a Nsolan.

WHAT IS GLYCATED HEMOGLOBIN?
If you have diabetes, it is very important that you self-control your disease to avoid complications.
To do this, if your doctor tells you to, you should analyze your blood sugar or glucose levels daily, at different times of the day, through a test called capillary glycemia.
This test is performed with a meter and test strips. In addition, in specific cases (if you suffer from hyperglycemia, your blood sugar levels are higher than 300 mg / dl, if you are sick or in any other circumstance that your doctor tells you) you will need to have a urine test to check the presence of acetone (appears when your body uses its own fat to generate energy instead of sugar).
It is very important that you write down the results obtained after the tests, since your doctor will take them into account to determine the most appropriate treatment for you: insulin, medication, diet, exercise ... However, there is a third diabetes self-control test whose The result provides very useful information to your doctor, both to determine your treatment and to evaluate whether it is necessary to take measures to prevent the complications of this disease.
It is glycosylated hemoglobin (also called glycated or HbA1c).
In simple terms, we can say that it is a test that provides a retrospective view of diabetes control. That is, the average of your sugar levels in the last 3 months.
Red blood cells that circulate in the blood contain a protein called hemoglobin. Glucose, which also circulates in the blood, adheres to hemoglobin for a period of between 90 and 120 days (approximately 3 months). In this way, the glycosylated hemoglobin test is based on the measurement of the amount of glucose adhered to the red blood cells and its result is expressed as a percentage, which determines the average blood glucose level during the quarter prior to the test. In addition, since 2010, the American Diabetes Association established this test as a diagnostic test for the disease: a result equal to or greater than 6.5% determines that a person has diabetes, while one between 5.7% and 6, 4% is considered prediabetes.
The DCCT (Diabetes Control and Complications Trial), thanks to a study conducted in the US for 10 years with people with type 1 diabetes, showed that keeping glycosylated hemoglobin at close to normal values ​​(from 4.5% to 6.5% ) significantly reduces the possibility of developing chronic complications of this disease: retinopathy, kidney disease, diabetic foot, etc.
In any case, you have to take into account that the intake of alcohol or vitamin C, among other substances, can alter the results of glycosylated hemoglobin.
In addition, the type of diabetes and the particular circumstances of each patient are also factors to analyze to determine what values ​​are normal in each person.
For this reason, it is very important that your medical team be the one that tells you which results are optimal for you.

How is this test done?
Glycosylated hemoglobin can be determined in a blood test, expressly checking this value.
However, there are also medical teams to find out the result at a capillary level.
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