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Endocrinology and metabolism

HbA1c ↔ eAG

1 inputEndocrinology and metabolism

Estimated average glucose from HbA1c.

HbA1c ↔ eAG calculator

Result

7.0% (DCCT)

eAG: ~8.6 mmol/L (~154 mg/dL)

NICE target: ≤48 mmol/mol (6.5%) for most T2DM. ≤53 (7%) if on insulin.

20 to 200 mmol/mol

How to use it

  1. 1

    Enter HbA1c in mmol/mol (IFCC). UK/EU labs report in mmol/mol. US labs use %.

  2. 2

    eAG conversion. ADAG study formula: eAG (mg/dL) = 28.7 × HbA1c(%) − 46.7.

  3. 3

    HbA1c limitations. Unreliable in haemoglobinopathies, haemolysis, iron deficiency, and recent transfusion.

When to use it

Diabetes diagnosis
HbA1c ≥48 mmol/mol (6.5%) on two occasions = diabetes (WHO 2011).
Monitoring glycaemic control
Reflects average glucose over prior 8–12 weeks.
Patient education
eAG in mmol/L helps patients relate HbA1c to glucose meter readings.

A reference for clinicians and students, not medical advice. A score supports a decision; it does not make one. Check every result against the patient in front of you and your local protocol.

At a glance

Specialty
Endocrinology and metabolism
Inputs
1
Type
Formula

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