A glycohemoglobin test, or a hemoglobin A1c, is a blood test that checks the amount of sugar (glucose) bound to the hemoglobin in the red blood cells. Mora Muri of Virgen de la Victoria University Hospital, Malaga and colleagues note that around 90% of women with GDM are normoglycemic just after delivery. Though you may have some high or low blood sugar values, an A1c gives you a picture of your average blood sugar over the past three months, giving you a more accurate idea if your lifestyle choices and any prescribed medications are helping you keep your numbers in target range. This test measures your average blood sugar level over a few months. A1C tests can be done at different times for different patients. Hence, it’s a way to get a sense as to how high the blood sugar has been, in this case over a 3-4 month period of time, and this is why it’s so helpful for diabetics. A1C may not accurately reflect levels of glycemia in some situations, but in comparison with glucose measurements, it has greater analytic stability and less temporal variability.
Although they will not acquire the diagnostic label of diabetes, nor enter an annual programme of microvascular complications screening at that time, they are not really being ‘missed’. Health plan and provider group investments in educational efforts aimed at increasing testing rates are likely to lead to improved glycemic control and a reduction in the incidence of diabetes-related complications and related expenditures