17 août 2025 · 5 min
Hemoglobin A1c reflects your average blood glucose over the past 2-3 months, offering a reliable indicator of long-term blood sugar control. Monitoring A1c helps detect diabetes risk early and guides personalized lifestyle changes to support metabolic health and longevity.
Hemoglobin A1c (HbA1c) is a blood biomarker that measures the percentage of glycated hemoglobin—hemoglobin molecules bound to glucose. Unlike a snapshot blood glucose test, A1c reflects average blood sugar levels over approximately 8 to 12 weeks. This makes it an invaluable tool for assessing long-term metabolic health and diabetes risk.
Red blood cells live about 120 days. Over time, glucose in the bloodstream attaches to hemoglobin in these cells, forming glycated hemoglobin. The more glucose present on average, the higher the %HbA1c. Healthy individuals typically have an HbA1c below 5.7%, while prediabetes falls between 5.7% and 6.4%, and diabetes is diagnosed at 6.5% or higher.
Higher HbA1c levels are strongly linked to increased risks for cardiovascular disease, kidney damage, neuropathy, and cognitive decline. Prolonged elevated blood glucose causes oxidative stress and inflammation, accelerating aging processes at the cellular level. Maintaining normal HbA1c values supports metabolic flexibility, sustained energy, and protection against chronic diseases—key pillars of long-term healthspan.
A large meta-analysis confirmed that every 1% increase in HbA1c corresponds with significantly higher all-cause mortality and cardiovascular risk (Selvin et al., 2010). This data underscores HbA1c’s value in preventive health and longevity-focused interventions.
Testing HbA1c is straightforward via a standard blood draw or finger-prick test, available at clinics or through at-home kits. The test requires no fasting and is more stable than daily glucose measurements, making it convenient for busy professionals.
Using a toolkit like Centenary Day’s health app, you can easily upload HbA1c test results, receive tailored nutrition and exercise recommendations, and get alerts for retesting based on your unique risk profile. Automated tracking keeps you consistently informed and empowered to make data-driven decisions that optimize your metabolic health with minimal hassle.
Here are evidence-backed approaches to improve and maintain healthy A1c levels:
Centenary Day’s comprehensive routines include personalized meal planning optimized for blood sugar, tailored exercise modules to improve insulin function, and progress tracking with biomarker uploads such as HbA1c. This eliminates guesswork and turns complex health data into actionable, effortless habits—even for packed schedules.
HbA1c reflects average glucose over 2-3 months, while fasting glucose measures blood sugar at one moment after an overnight fast. HbA1c provides a more comprehensive long-term overview.
For those at low risk, annual testing suffices. Higher-risk individuals or those managing prediabetes or diabetes may require testing every 3-6 months, depending on medical advice.
Yes. Evidence shows diet, exercise, weight loss, and stress management can substantially lower HbA1c, reducing or even reversing prediabetes in many cases (Tuomilehto et al., 2001).
Certain conditions affecting red blood cell turnover (like anemia or hemoglobin variants) can interfere with HbA1c accuracy, so alternative tests might be needed. Consult your healthcare provider if relevant.
The app automates biomarker uploads, integrates HbA1c trends with lifestyle data, and generates personalized, adaptable health plans to keep your blood sugar control effortless and aligned with your longevity goals.
Monitoring Hemoglobin A1c is a science-backed, time-efficient strategy to track and optimize your long-term blood sugar control—vital for preventing chronic disease and promoting sustained energy and cognition. Integrating HbA1c testing into your personalized health plan with Centenary Day empowers you to take precise, actionable steps toward metabolic longevity without overwhelm or guesswork.
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