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FOR SHARON DAFNE wkbk day5 FINAL crops.pdf - Dafne - UK.COM

FOR SHARON DAFNE wkbk day5 FINAL crops.pdf - Dafne - UK.COM

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Changeover in reporting of results<br />

The new units for HbA 1c<br />

are obviously very different. Until 31 May 2011 HbA 1c<br />

results will be given as both % and<br />

mmol/mol to give everyone time to become familiar with the new units, and how they relate to the current figures<br />

and after that the figures will only be given in mmol/mol.<br />

Blood Glucose Range<br />

HbA 1c<br />

Result<br />

% mmol/mol<br />

Under 7 mmol/l (non-diabetic) Less than 6.0 Less than 42<br />

Mostly under 10 mmol/l 6.0 42<br />

7.0 53<br />

Frequently over 10 mmol/l 8.0 64<br />

9.0 75<br />

10.0 86<br />

11.0 97<br />

12.0 108<br />

Mostly over 17 mmol/l Over 13 Over 119<br />

Table 2: Correlation between blood glucose range and HbA 1c<br />

result<br />

Diabetes Control and Complications Trial (DCCT)<br />

A large American research study called the “The Diabetes Control and Complications Trial” (DCCT), published<br />

in 1993, showed that maintaining good blood glucose levels delayed the onset of damage to the small blood<br />

vessels in the eyes, kidneys and nerves (micro-vascular complications) in people with Type 1 diabetes. There are<br />

no additional benefits of having an HbA 1c<br />

level, which is too low (below 45 mmol/mol or 6.0%) as this has been<br />

found to increase the risk of severe hypos. We therefore recommend a target range of 45 mmol/mol - 55 mmol/<br />

mol (6.0% to 7.0%). In order to check your own progress, it is worth getting your HbA 1c<br />

measured every 3 months<br />

or so.<br />

7<br />

<strong>DAFNE</strong> <strong>wkbk</strong> <strong>day5</strong>.indd 7 06/08/2010 13:23

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