Medical Emergencies · single question

A diabetic patient is acutely confused and the HbA1c is 9.3%. This elevated HbA1c indicates:

  1. Hypoglycemia
  2. Hyperglycemia reflecting poor long-term glucose control
  3. Normal glycemic control
  4. Lactic acidosis
Show answer and explanation

Correct answer: B. Hyperglycemia reflecting poor long-term glucose control

  • A. HbA1c does not reflect a single low value; it is a 3-month average.
  • B. Correct. HbA1c of 9.3% reflects chronically elevated blood glucose (poor control).
  • C. Normal HbA1c is <5.7% (diabetic target generally <7%).
  • D. HbA1c does not measure lactate.

Note: Acute confusion could be from hypo- OR hyperglycemia; the chronically high HbA1c specifically indicates hyperglycemia.

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