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ADA Standard Formula (Nathan et al., Diabetes Care)

HbA1c to eAG Converter

Instantly convert glycated hemoglobin (HbA1c %) into Estimated Average Glucose (eAG) in mg/dL and mmol/L.

Mode Selection
6.5%
4.0% (Normal)6.5% (Diabetes)14.0% (High)
Diabetes Diagnostic Cutoff

HbA1c is 6.5% or higher. Meets diagnostic criterion for diabetes mellitus.

Calculated Output
Estimated Average Glucose (eAG)
139.8mg/dL
SI Unit (mmol/L)7.8
Glycated Hemoglobin6.5%
Automated Chart Sync

Medsy automatically calculates eAG and tracks longitudinal trends directly inside patient records.

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HbA1c to eAG Reference Comparison Table

HbA1c (%)eAG (mg/dL)eAG (mmol/L)ADA Clinical Status
5.0%97 mg/dL5.4 mmol/LNormal
5.5%111 mg/dL6.2 mmol/LNormal
6.0%126 mg/dL7.0 mmol/LPrediabetes
6.5%140 mg/dL7.8 mmol/LDiabetes Cutoff
7.0%154 mg/dL8.6 mmol/LADA Target for Diabetics
8.0%183 mg/dL10.2 mmol/LAction Required
9.0%212 mg/dL11.8 mmol/LUncontrolled Hyperglycemia

How the ADA Formula Works

The A1C-Derived Average Glucose (ADAG) study, led by Dr. David Nathan and published in Diabetes Care, evaluated over 500 patients using continuous glucose monitoring and frequent blood glucose checks over 3 months.

eAG (mg/dL) = 28.7 × HbA1c - 46.7
eAG (mmol/L) = 1.59 × HbA1c - 2.59

Frequently Asked Questions

Why does eAG differ from my glucose meter?

eAG is a 90-day average including post-meal spikes and sleeping hours, whereas finger-stick meters show instantaneous spot values.

Can conditions alter HbA1c accuracy?

Yes. Hemoglobinopathies, severe anemia, recent blood transfusion, or pregnancy can impact HbA1c readings. Clinicians should correlate with fructosamine or continuous glucose logs.