Estimated Average Glucose

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The page below is a sample from the LabCE course Diabetes: Diagnosis, Laboratory Testing, and the Current American Diabetes Association Guidelines. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Estimated Average Glucose

Estimated average glucose (eAG) is a glucose concentration level calculated from a patient's Hb A1C result. In 2008, the ADA indicated that this new term and its calculation could be reported routinely with the measured A1C result.
The formula for conversion of Hb A1C to glucose in mg/dL is:8
eAG = 28.7 x A1C – 46.7
The eAG is essentially a health tool to help clinicians set glucose level targets in patients, especially useful in cases where the patient is not entirely compliant and where patients do not check their blood glucose frequently enough to keep proper track through self-monitoring. The ADA introduced the term to help translate the A1C results into numbers that are closer to everyday readings on glucose meters. Table 6 relates the Hb A1C % result to the eAG (mg/dL) result.
Table 6. Relationship Between A1C and eAG.
Hb A1C (%)eAG (mg/dL)
5.5111
6.5 140
7.5169
8.5197
9.5226
8. American Diabetes Association. "eAG/A1C Conversion Calculator." ADA, 2024. https://professional.diabetes.org/glucose_calc.