Hba1c test is known as the glycated hemoglobin A1c test. A1c is a common form of hemoglobin which is associated with the sugar level in the human body. The most common kind of glucose forms like glucose, fructose, and galactose tend to create bonds with the hemoglobin.
Though, galactose and fructose create the bond on a frequent basis while glucose is not spontaneous in forming bonds with the hemoglobin. This is an indication that glucose plays a role as the primary metabolic fuel within the human body.
Reference range for Hba1c test
There are three zones through which the patient could be considered into three different categories. If the patient’s hba1c level is lower than 4 percent or lies within 1 to 4 percent, the patient is safe from the disease of diabetes. If the report shows the level is more than 5.6 percent, that individual is susceptible to diabetes disease. And any patient reported with more than 7% is considered to be a diabetes patient.
Hba1c test price in Bangladesh
The price lies between eight hundred taka to twelve hundred taka. The price can differentiate within the regions and also from hospital to hospital. If you take the test from a government hospital, you might get a reduction in the price. Moreover, the test taken from a private hospital can end up at the peak of the range.
Findings and specifications of the Hba1c test
There are a few common conditions in which a patient is advised to take the Hba1c test. If the patient is previously tested with prediabetes, it is a matter of concern for the patient. Because these patients are prone to type 2 diabetes and cardiovascular diseases.
To detect the glucose conditions in a specific human body, the doctor can suggest a wide spectrum of Hba1c tests. This test is conducted over two days. The doctor can suggest two A1C tests or one A1C test in conjunction with a fasting random blood sugar test. After obtaining the reports, the doctor would compare the reports taken from those two consecutive days and come up with a conjecture about the glucose level of the patient.
The preliminary A1C test is taken as a basic reference where the next reports are compared with the first test. With the first test being taken, the other tests are done on a repeated basis which helps to create a diabetes treatment plan. Moreover, type two diabetes patients need regular glucose checking and need a close look at the report to take care of the disease accordingly.
Timing of taking the test
There is a specific timing before taking the Hba1c test. It mainly depends on the timing of taking the food. If the patient takes the test when he just finished the meal, the report would be a certain level different from the test which was taken half hour after the diet is taken. Also, If the test is taken while the patient is in between two swallows of a certain meal, the report is also supposed to be different from the accurate one. To avoid these flaws, the standard rule for taking the Hba1c test is two hours after finishing the meal or diet.
Frequency of Hba1c test
The condition of the patient suggests that in which time interval, the patient should take the test again. Moreover, the patient’s care for his/her disease also differentiates the frequency. There are few standard time sets for the interval between two consecutive Hba1c tests.
- If the patient is tested with prediabetes, the patient should be tested once each year.
- If the patient has to take insulin on a regular basis and the diabetes condition is under check, it is suggested to take the Hba1c test twice a year.
- This test is suggested four times a year if the patient takes insulin on a regular basis and the blood sugar is not under control of the patient.
In many cases, frequent observation and testing of Hba1c are needed for highly volatile patients who are suffering from diabetes. They always need special care and have to be very careful about their health concerns.
Limitations involved in the Hba1c test
There are a few specific conditions in which the patients are supposed to come out with an inaccurate result on this test. These specific conditions are listed below,
- Blood transfusion in recent times
- Heavy blood loss in recent times
- Hemoglobin variants
- Inadequate amount of red blood cells or anemia
The most common transporter of oxygen within the blood is hemoglobin A. If there is any presence of other protein variants, the Hba1c report is supposed to be wrong. This test is dependent on variants of proteins, which are mainly responsible to occur on the antibody. If any previous interaction is in place, the doctor might ask the patient to take this test from a specialized hospital to take a different type of diagnosis or monitoring.
Expectations from the testing procedure
This test can be a very brief test. This test does not need specialized labs at all times. Many doctors also take this test inside their chamber. The process is semi-invasive where a brief invasion of the skin is taken place. A prick is used to collect the blood sample from the patient’s fingertip. The collected blood sample is then taken to the lab. Though, in many cases, the blood is drawn from the veins of the arms. This test helps create the treatment plan for the future.
Hba1c test could also be conducted inside the house briefly by the patient with the help of a device. This device is used by putting a small amount of blood sample and the report comes up digitally. This device shows result in the unit mmol/L or mg/dL. Any patient can take the device result as a reference if that patient has gone through the first and preliminary Hba1c test.
If the A1c level is more than 7 mmol/L, the patient has to take good care of his/her personal health. Moreover, anything between 5.2 -7.0 is yet a matter of concern. That individual has to think about pushing the breaks to be safe in the future.