Why eAG was introduced
The ADA introduced eAG reporting to help bridge the gap between the A1c percentage that clinicians monitor and the mmol/L or mg/dL values that people with diabetes see on their meters every day. An A1c of 7% corresponds to an eAG of approximately 8.6 mmol/L (154 mg/dL) — a value that feels concrete when compared against meter readings.
The ADAG (A1c-Derived Average Glucose) study validated this formula using continuous glucose monitoring data across a racially diverse population with and without diabetes. The resulting linear formula provides a reasonable estimate for most individuals, though individual variation of up to ±0.5–1.5 mmol/L (10–30 mg/dL) is documented.