Skip to content

Hemoglobin A1c (HbA1c) measured by high-performance liquid chromatography (HPLC)

Published: August 9, 2026Updated: August 15, 2026

This test measures the average blood sugar level over the past 2–3 months, helping doctors assess long-term diabetes control.

Quick summary

["HbA1c reflects your blood sugar trends over time, aiding diabetes management."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 15, 2026Editorial policy

Key facts at a glance

LOINC
105689-4
Short code
CANDDH
Synonyms
C. duobushaemul DNA Spec Ql NAA+probe
Category
chemistry
Sample
serum
Container
Sterile, leak-proof container without preservative; serum separator tube (SST) or red-top tube acceptable for serum specimen. For other specimen types, use appropriate sterile transport container per laboratory guidelines.
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
probe-amp-tar
CPT
87798
SNOMED
122451005
Specimen volume
1-2 mL of serum; minimum 0.5 mL required for testing
Stability
Serum: Room temperature 24 hours; refrigerated (2-8°C) up to 7 days; frozen (-70°C or below) up to 6 months. Avoid repeated freeze-thaw cycles.
Hemolysis max
100
Lipemia max
100
Icterus max
50
TAT
24–72 hours
Order
routine

What HbA1c Measures

HbA1c represents the percentage of hemoglobin molecules that are glycated (attached to sugar). It reflects your average blood glucose levels over the past few months, as red blood cells live about 3–4 months. This test is a key indicator of how well your diabetes is managed over time.

Why It’s Done

Doctors order HbA1c tests to monitor diabetes progression, assess treatment effectiveness, and detect prediabetes or undiagnosed diabetes. It’s often used alongside other tests like fasting blood glucose or random blood sugar checks.

How It Works

Blood is drawn from a vein, and the sample is analyzed using HPLC to separate and measure the proportion of hemoglobin bound to sugar. The result is expressed as a percentage of total hemoglobin.

What to Expect Before the Test

No special preparation is needed, but you may want to avoid eating or drinking anything (except water) for 4–8 hours before the test if instructed by your provider. Wear comfortable clothing for easy vein access.

Reference range

Negative (Not Detected) for Candida duobushaemulonii DNA. Positive results indicate the presence of Candida duobushaemulonii DNA in the specimen.N/A

Specimen: serum

No special patient preparation is required prior to specimen collection. Inform the laboratory of any recent antifungal therapy, as this may affect test interpretation.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

HbA1c is critical for diabetes management because it provides a snapshot of blood sugar control that isn’t affected by short-term fluctuations. A higher HbA1c (typically ≥6.5%) suggests poor control and may prompt adjustments to medication, diet, or lifestyle. It’s also used to diagnose prediabetes (5.7–6.4%) or type 2 diabetes.

Short name

HbA1c

Frequently asked questions

How often should I get an HbA1c test?
Typically, adults with diabetes are advised to get an HbA1c test every 3–6 months to track progress. Your doctor may adjust this frequency based on your treatment plan and blood sugar goals.
What do my HbA1c results mean?
Results are interpreted as a percentage. For example, 5.7%–6.4% indicates prediabetes, while 6.5% or higher suggests diabetes. Your doctor will discuss these results in detail with you, considering your overall health and treatment goals.
Can lifestyle changes affect my HbA1c?
Yes! Consistent physical activity, a balanced diet, and managing stress can improve HbA1c levels. Even small changes, like reducing sugar intake or increasing fiber, may help over time. Always work with your healthcare team to tailor these efforts to your needs.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 15, 2026. · Read our editorial policy