# First, Dial an A1C Number

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1 First, Dial an A1C Number Turn A1C into a number you can better understand. Next, read the eag number (Estimated Average Glucose) a To help manage her diabetes, Liz uses a human premix insulin such as Novolin 70/30 (70% NPH, Human Insulin Isophane Suspension and 30% Regular, Human Insulin Injection [recombinant DNA origin]). To find out how Liz can get a better understanding of her A1C number, see inside. Liz, living with type 2 diabetes a eag, or estimated average glucose, is a different way to measure A1C, and suggests that your blood sugar may fall within a certain range most of the day.

2 Turn to convert A1C to eag Turn to convert A1C to eag Turn to convert A1C to eag Turn to convert A1C to eag

3 A1C is the starting point Meet Liz 60 years old Living with type 2 diabetes for 10 years Goes for walks at least 3 times a week Current A1C number is 9% Recommended A1C number is less than 7% Liz s health care provider would like her A1C number to be less than 7%. Her last A1C reading was 9%. Liz knows it would be helpful for her to get her A1C down below 7%, but it s a challenge. Liz knows that if she fully understood what A1C is, it would help her take better care of her diabetes. Liz doesn t fully understand what A1C means. But she s not giving up. 2

5 An easier way to understand A1C. It s called estimated average glucose (eag) eag, or estimated average glucose, is a number similar to what you see every time you test your blood sugar with your blood sugar meter. For many people, it s easier to understand because eag is expressed in the same units as you see on your blood sugar meter. eag is expressed in the same units as you see on your blood sugar meter. Liz learned that her current A1C of 9% means an eag number of 212 mg/dl. 4

6 eag See the table on the right to find out how A1C converts to eag. A1C 12% eag (mg/dl) 298 Liz s current A1C of 9% means an eag number of 212 mg/dl. 11% 10% 9% 8% Understanding eag If you don t know your latest A1C number, be sure to speak with your health care provider. 7% 6% To better understand how eag numbers relate to daily blood sugar readings, please turn the page. 5

7 How eag relates to daily blood sugar numbers Based on the eag number, the table below shows an estimated daily glucose range. As it is only an estimate, your blood glucose may be outside the listed range some of the time. For example, Liz s current A1C number of 9% converts to an eag of 212 mg/dl. eag (mg/dl) Blood Sugar Range a A1C 12% 11% 10% 9% 8% 7% mg/dl mg/dl mg/dl mg/dl mg/dl mg/dl As the chart indicates, Liz's blood sugar range likely falls between 170 and 249 mg/dl most of the day. There are times when her sugar may be higher or lower than this range. 6% mg/dl Blood sugar range is based on a 95% confidence interval, which means that there is a 95% chance that the A1C falls within that blood sugar range. a 6

9 sugar control Gaining better control of your blood sugar numbers can help lower your risk of some long-term diabetes problems. A study showed that lowering A1C by 1% reduced the risk of some long-term diabetes problems by 37% Long-term diabetes problems mean damage to eyes, kidneys, and nerves in the feet and hands. Liz now has a better understanding of her overall blood sugar levels. taking a more active role in her diabetes management. And that s just what her health care provider wants to hear. If you are using a human premix insulin and are not in control like Liz, talk with your doctor about other insulin options. Novolin is a registered trademark of Novo Nordisk A/S. Novo Nordisk is a registered trademark of Novo Nordisk A/S Novo Nordisk Printed in the U.S.A January 2016

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