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​HbA1c over 6%? Nephrologist shares tests that matter beyond this level of blood sugar

TOI Lifestyle Desk
| TIMESOFINDIA.COM | Last updated on - Dec 27, 2025, 08:00 IST
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HbA1c over 6%? Nephrologist shares tests that matter beyond this level of blood sugar

When HbA1c levels raise, many see it as a warning sign solely for diabetes. However, HbA1c isn’t a single reading, it shows the average blood sugar level over the past two to three months. When these numbers stay high, it is a sign that the body is exposed to excess sugar. Over time, this can quietly affect important organs in the body, even before any symptoms appear.


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Highlighting this very same situation, renowned kidney specialist Dr. Arjun Sabharwal notes that only keeping in track of the blood sugar numbers isn’t enough and there’s more to the picture. Dr. Sabharwal shared some screening tests that individuals with HbA1c over 6% should get.

2/5

Urine ACR for kidney health

Dr. Sabharwal notes this test shows the early kidney damage from diabetes. Normal result should be <30 mg/g
Results between 30 to 300 may show early diabetic kidney disease
Numbers >300 show high risk and need for urgent treatmentNote- Early kidney damage is reversible if caught early.

3/5

Yearly lipid profile tests for heart related risks

Dr. Sabharwal notes diabetes increases the risk of heart disease.
Lipid profiles target should be:
LDL levels <70 mg/dl
He adds that even healthy and fit individuals should get this test done

4/5

Annual retinal exam to check eye health

The kidney specialist recommends Dilated Fundus Examination. He also recommends an Annual retinal exam and notes that getting this test yearly as diabetic eye damage has no early symptoms.
Dr. Sabharwal warns while early changes are reversible, late changes lead to permanent vision loss.

5/5

Tests to check nerve damage

Dr. Sabharwal recommends a foot exam and sensation testing to check for nerve damage. He also adds to check for vitamin B12 levels as low levels can cause numbness, burning feet and even balance issues.


Disclaimer: This article is for informational purposes only.

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