A glycosylated hemoglobin measurement of 6% indicates which of the following?

• A. Is experiencing a rebound hyperglycemia
• B. Needs the insulin changed to a different type
• C. Has followed the treatment plan as prescribed
• D. Requires further teaching regarding nutritional guidelines

Answer: (C)

HbA1c shows the average blood glucose over roughly the past 2 to 3 months by measuring how much glucose is attached to hemoglobin. A value of 6% indicates good glycemic control, typically corresponding to an average glucose around 126 mg/dL. This level suggests the patient has been following the prescribed treatment plan and maintaining steady control.

It doesn’t point to rebound hyperglycemia, which would imply recent high spikes rather than a consistently good average. It also doesn’t by itself signal a need to change insulin types, since there’s no indication of poor control or adverse effects from the current regimen. While ongoing education is always important, this HbA1c value mainly supports that the treatment plan is being followed and working well.