A glycosylated hemoglobin measurement of 6%. What should the nurse conclude about this client when planning teaching strategies based on the results of this laboratory test?

• A. The client is experiencing a rebound hyperglycemia.
• B. The client needs the insulin changed to a different type.
• C. The client has followed the treatment plan as prescribed.
• D. The client requires further teaching regarding nutritional guidelines.

Answer: (C)

Glycosylated hemoglobin (HbA1c) reflects average blood glucose over roughly the past 2 to 3 months. A value of 6% indicates good long-term glycemic control, corresponding to an estimated average glucose around 126 mg/dL. For many people with diabetes, this is at or near the target range, suggesting the patient has been adherent to the prescribed regimen (diet, activity, and medications).

Because this result shows good control, the teaching plan should reinforce and maintain the current treatment approach rather than suggesting a change in therapy. It supports continuing the same strategies for nutrition, exercise, and medication adherence. It doesn’t indicate rebound hyperglycemia or a need to alter insulin, though ongoing education and periodic monitoring remain important to sustain this level of control.