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A client with type 2 diabetes mellitus presents to the primary health care provider's office with a glycosylated hemoglobin (HgbA1C) level of 10.5%. Which statement by the client indicates an understanding of this test and its results?

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A glycosylated haemoglobin level of 10.5 % is considered to be high. For a person managing their diabetes, it should be 7% or less.

What is a glycosylated haemoglobin test ?

The glycosylated haemoglobin test or the A1C test is the amount of sugar in the blood over an average number of months.  It is used to predict the onset of diabetes, diagnose if a person has diabetes or see if a person with diabetes has been managing it well or not.

This test depends on haemoglobin. Haemoglobin is a protein present in the red blood cells of the body. In the condition of diabetes, glucose is present in the blood which sticks to the haemoglobin present in the RBCs by the way of glycation.

This test measures the average amount of glucose that has attached itself to haemoglobin over a period of some time. Therefore, this test is more informative than the normal blood glucose level test.

If the level is less than 5.7%, it means a person doesn't have diabetes. An A1C level of 5.7% to 6.4% means pre-diabetes and a percentage lower than 7% indicates proper management of diabetes.

Therefore, a level of 10.5 % is very high.

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