The nurse is caring for a long-term diabetic patient with a glycosylated hemoglobin (HbA1c) level of 5%. Which statement indicates that the patient understands this laboratory result?

a. "My hemoglobin A levels are excellent."
b. "I am anemic and may need a blood transfusion."
c. "I should meet with the dietician to dis-cuss better food choices."
d. "My glucose control has been excellent for the last few weeks."


D
The hemoglobin A1c (A1C) test (formerly called the glycosylated hemoglobin test) measures blood glucose over a period of many weeks. Glucose in the bloodstream attaches itself to the hemoglobin A (red blood cell) molecule and remains there for the life span of the red blood cell. Physicians use A1C test results to prescribe adjustments to a patient's treatment program for managing diabetes. Results of 4.9% to 6.7% are considered excellent results. Good results are between 7.6% and 8.5%. Fair results are between 9.4% and 10.0%. Poor control is considered between 12.1% and 13.0%.

Nursing

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