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A1c and estimated average glucose calculator

Translate between HbA1c percentage and estimated average glucose (eAG) using the ADAG study relationship.

Calculator

HbA1c (%)
7.00
Estimated average glucose
154.20
Glucose unit
mg/dL

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How this calculator works

The ADAG study fitted a statistical relationship between laboratory HbA1c and average glucose. Its published mg/dL and mmol/L coefficients are independently rounded; this page preserves each equation exactly. This page limits HbA1c to 4-12%, avoiding extrapolation beyond the published table. The reverse operation is an estimate, not a measured HbA1c or a CGM glucose-management indicator. Anaemia, altered red-cell survival and some haemoglobin variants can affect interpretation. The result is an estimate for information only and is not medical advice.

Formula

eAG(mg/dL) = 28.7 x HbA1c(%) - 46.7. eAG(mmol/L) = 1.59 x HbA1c(%) - 2.59. Reverse: HbA1c = (eAG - intercept)/slope.

Worked example

HbA1c 7% gives 154.2 mg/dL or 8.54 mmol/L using the respective published equations. HbA1c 6% gives 125.5 mg/dL or 6.95 mmol/L.

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Frequently asked questions

Is this a diagnosis of diabetes?

No. Diagnosis uses appropriate laboratory testing and clinical guidance, not a converted average alone.

Can one fingerstick reading estimate HbA1c?

No. The relationship concerns an average over time, not a single glucose result.

Why do the two unit equations differ slightly after conversion?

The original study rounded both regressions. This tool retains those published coefficients rather than silently replacing one.

Sources

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