The glycosylated hemoglobin of a 40-year-old client with diabetes mellitus is 2.5%. The nurse understands that:
A. The client has good control of her diabetes
B. The client has poor control of her diabetes
C. The client can have a higher-calorie diet
D. The client requires adjustment in her insulin dose
Correct Answer: A. The client has good control of her diabetes
Option A: Glycosylated hemoglobin test or hemoglobin A1c measures the average blood glucose over the past 3 months. The normal range for people with diabetes with poor glucose control is less than 7% hence, a result of 2.5% means that the client’s diabetes is well under control.
Option B: The desired range for glycosylated hemoglobin in an adult client with poor glucose control is less than 7%
Option C: A high caloric diet will lead to elevated glycosylated hemoglobin.
Option D: The diet and insulin dose is appropriate for the client.