Metabolic calculator

Estimated Average Glucose (from HbA1c)

Converts your HbA1c into the average blood glucose it represents — far more intuitive than a percentage.

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How this is worked out. eAG mg/dL = 28.7 × HbA1c% − 46.7. The ADAG study (Nathan et al., Diabetes Care 2008); this is the conversion the ADA publishes.
Result in mg/dL. An HbA1c of 5.4% ≈ 108 mg/dL average glucose. This is the ADA's standard eAG conversion.

The bands on this page

ResultWhat it is called here
under 97Excellent average glucose
97 to 114Good
114 to 126Prediabetic range
over 126Diabetic range

What goes in, and where each number comes from

Every input is a real test. Follow one to see its normal range, its optimal range and what moves it — the calculation is only as good as the numbers you feed it.

What it costs to actually get these numbers

The 1 test on their own$8.10
The cheapest panel that covers them — Am I Prediabetic? (2 markers)$17.10
Order the tests, not the panel. This calculation needs 1 result, and buying it individually is $9.00 cheaper than the smallest panel that happens to contain it. The panel is worth it only if you want the other 1 markers on it too.
Order Am I Prediabetic? →

Prices are Marek Diagnostics with the 10% code already applied, and they are what was filed when this page was built — check the cart. Ordering through these links pays a commission at no cost to you.

What could have moved the measurement, not the marker

A wrong number and a real change look identical on a report. These are the reasons a result here can be an artifact of how the blood was drawn or run, and they are worth ruling out before anything else.

assayAnything that shortens red cell lifespan

HbA1c measures glucose stuck to hemoglobin over the red cell's lifespan. Hemolysis, recent blood loss, recent transfusion or erythropoietin all shorten that lifespan and give the sugar less time to attach — producing a falsely LOW HbA1c in someone whose glucose control is actually poor.

What to do: If you are anemic, have donated blood recently, or are on TRT with a high hematocrit, read HbA1c alongside fasting glucose and fructosamine.

assayIron deficiency

Raises HbA1c independently of glucose — older red cells accumulate more glycation. Correcting iron deficiency lowers HbA1c with no change in diet at all.

What to do: Check ferritin before acting on a borderline HbA1c.

assayHemoglobin variants

Sickle trait, HbC and thalassemia interfere with several HbA1c methods, in either direction depending on the assay.

What to do: Relevant if you have African, Mediterranean, Middle Eastern or South Asian ancestry. Ask which method the lab uses.

This tool does not diagnose anything. It puts a number next to a published interval and shows the arithmetic that got there. It cannot see your symptoms, your medications, your history or the assay your lab ran. A result outside the outer bounds belongs in front of a clinician, not in a supplement search.

Where to go with this

Read one of these results on its ownType a value, pick your units and sex, and see where it sits and what could have moved it.The Am I Prediabetic?2 markers, $17.10 with the code — what it settles and what it does not.Every marker on this site103 markers, each with the normal range, the optimal range and what moves it.

The other metabolic calculations

HOMA-IR — Insulin ResistanceThe standard research index of insulin resistance. Catches metabolic dysfunction years before glucose or HbA1c move.QUICKI — Insulin SensitivityA companion to HOMA-IR that some researchers consider more reliable at the low-insulin end. Higher is better here.TyG Index — Insulin Resistance (no insulin needed)Estimates insulin resistance from just triglycerides and glucose — useful when you didn't order fasting insulin.