衛教資訊
Glycemic control standard and glycated hemoglobin 糖化血色素及血糖控制標準
Glycemic control standard and glycated hemoglobin 糖化血色素及血糖控制標準
2024/4/15
Good glycemic control will promote health, prevent complications, raise quality of life and prolong life-span.
Glycated hemoglobin (HbA1c) reflects the glycemic control from the past 3 months. When there are more blood glucoses, glycation increases, making the value of HbA1c higher. Higher HbA1c means poorer glycemic control, which is easier to incur complications.
Correlation table for glycated hemoglobin (HbA1c) levels and the mean for plasma glucose levels
Glycated hemoglobin
|
Mean plasma glucose
|
|
HbA1c (%)
|
mmol/L
|
mg/dL
|
5
|
5.5
|
100
|
6
|
7.5
|
135
|
7
|
9.5
|
170
|
8
|
11.5
|
205
|
9
|
13.5
|
240
|
10
|
15.5
|
275
|
11
|
17.5
|
310
|
12
|
19.5
|
345
|
Normal plasma glucose values
Fasting Blood Glucose
|
70 – 100 mg/dL
|
Two-hour Postprandial Blood glucose
|
< 140 mg/dL
|
Glycated Hemoglobin (HbA1c)
|
4% ~ 5.6%
|
Recommended glycemic goals for adults with type 1 or type 2 diabetes
Glycated Hemoglobin (HbA1c)
|
< 7%
|
Preprandial Plasma Glucose
|
80 – 130 mg/dL
|
Postprandial Plasma Glucose
|
< 180 mg/dL
|
Blood Pressure
|
< 140/90 mmHg
|
Low-density Lipoprotein Cholesterol
|
< 100 mg/dL
|
Triglyceride
|
< 150 mg/dL
|
High-density Lipoprotein Cholesterol
|
> 40 mg/dL
|
Important statements
- The target for glycemic control must be individualized, in the absence of hypoglycemia, patients’ glycated hemoglobin is aim to be less than 7%. It is necessary to notify your physician to adjust the regimen or dieting once hypoglycemia develops during diabetes treatment.
- When the preprandial blood glucose level does not match glycated hemoglobin (HbA1c), measuring postprandial glucose level is needed.
- Please contact diabetes education center if you have any questions.
- 社團法人中華民國糖尿病學會(2022).2022第2型糖尿病臨床照護指引.社團法人中華民國糖尿病學會。
- 社團法人中華民國糖尿病學會(2022).2022第1型糖尿病臨床照護指引.社團法人中華民國糖尿病學會。
- 社團法人中華民國糖尿病衛教學會(2022).2022糖尿病衛教核心教材.社團法人中華民國糖尿病衛教學會。
- American Diabetes Association.
製作單位:內科部內分泌暨新陳代謝系 編碼:HE-10115-E
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若有任何疑問,請不吝與我們聯絡
電話:(04) 22052121 分機 13229
中國醫藥大學附設醫院暨體系院所