NORCET-11 Prelims
Biochemistry & Nutrition
Easy

Convert a patient's HbA1c value of 7% into estimated average glucose in mg/dL.

Appeared in: NORCET-11 Prelims

Explanation

  • The formula for eAG is: eAG (mg/dL) = 28.7 × HbA1c (%) − 46.7.
  • For HbA1c 7%, eAG = 28.7 × 7 − 46.7 = 155.2 mg/dL, which rounds to 154 mg/dL.
  • Standard tables confirm 7% HbA1c equals 154 mg/dL eAG.
  • This conversion helps patients understand their long-term glucose control.

Why Other Options Were Wrong

  • Option A: 158 mg/dL is slightly higher than the calculated eAG for 7% HbA1c. This value does not match the standard conversion tables.
  • Option C: 150 mg/dL underestimates the eAG for 7% HbA1c. It is lower than the value given in standard references.
  • Option D: 145 mg/dL is too low for a 7% HbA1c. This value does not align with the standard conversion formula or tables.

Related Visual

A chart showing the relationship between HbA1c percentages 5% to 10% and their corresponding estimated average glucose values in mg/dL.
Clinical Relevance
  • Nursing practice connection: Use the key finding related to Conversion of HbA1c to estimated average glucose (eAG) to guide bedside assessment, documentation, and the next nursing action.
  • Nurses use eAG to explain long-term glucose control to patients in familiar units (mg/dL).
  • Helps in assessing the effectiveness of diabetes management plans.
  • What if? If the patient's HbA1c was 8%, the eAG would be approximately 183 mg/dL, indicating poorer glycemic control and the need for intervention.
How to Approach the Question
  • Recall the standard formula for converting HbA1c to eAG.
  • Substitute the given HbA1c value into the formula.
  • Calculate and match the result to the closest option.
  • Use standard reference tables if available for confirmation.
Concept Tested & Keywords
  • Concept Tested: Conversion of HbA1c to estimated average glucose (eAG)
  • Stem keywords: HbA1c value, 7%, estimated average glucose, mg/dL
  • Lead-in keywords: convert, calculate
  • Clinical cues: HbA1c 7% is a common target for diabetes control

Question ID

QTmAkyStb3YPQfFRtG659C

Reference Book

E6 Textbook of Biochemistry for medical StudentsDM Vasudevan Part 1 (pp 26-370 of 370) p. 201-203

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