What is a HbA1c?

• HbA1c, also known a Glycated Haemoglobin, is used in the monitoring and diagnosis of diabetes mellitus
• HbA1c is formed when haemoglobin joins with glucose in the blood becoming 'glycated'
• The amount of HbA1c formed is directly related to the average blood glucose concentration over the previous 8 to 12 weeks and is the preferred test for long term monitoring of glycaemic control in people with diabetes.

Test workflow

Pre-diabetes

If a patient with pre-diabetes has an improved HbA1c (<42), right-click on the problem, click edit, change the status to past, and enter today’s date as the end date.

Allocate pre-diabetes results in patients under 18 or patients with learning disability to GP.

Glucose

If there are any glucose levels <4.0mmol/L → please add this to the Duty Doctor list for review

Safety Netting

Add safety netting template to consultation. Under ‘blood test due’ - add comment stating ‘review HbA1c’ for 4 weeks later