The HbA1c to eAG Formula
The American Diabetes Association (ADA) recognizes a standard formula to convert HbA1c (glycated haemoglobin, a measure reflecting average blood sugar over roughly 2-3 months) into an estimated Average Glucose (eAG), expressed in the same units (mg/dL) as a regular blood glucose reading:
eAG (mg/dL) = 28.7 × HbA1c(%) − 46.7
HbA1c Classification Ranges
- Below 5.7%: Normal range
- 5.7% – 6.4%: Prediabetes range
- 6.5% and above: Diabetes range
Why eAG Is Useful
Many patients find it easier to interpret their glucose control in the familiar mg/dL units they see on a glucometer, rather than as an abstract HbA1c percentage. eAG bridges this gap, giving a more intuitive sense of average blood sugar levels.
Important Medical Note
HbA1c and eAG reflect average glucose over months, not a single point-in-time reading, and can be affected by certain conditions (like anemia or hemoglobin variants) that don't reflect true glucose control. Always discuss your results with a healthcare professional for proper interpretation and management.