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: Fructosamine, Serum or Plasma, Substance Concentration

Published: August 9, 2026Updated: August 17, 2026

: Fructosamine is a blood test that reflects your average blood glucose over roughly the past two to three weeks. It is most often used to gauge short-term glucose control when hemoglobin A1c may not be reliable.

Quick summary

[": Fructosamine gives a short-term picture of blood sugar control over about two to three weeks."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
15069-8
Short code
Fructosamine SerPl-sCnc
Synonyms
Fructosamine SerPl-sCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
200
Ref high
285
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

: What Fructosamine Measures

: Fructosamine is formed when glucose attaches to proteins in the blood, mainly albumin. Because these proteins turn over in a few weeks, the amount of fructosamine in your blood reflects your average glucose level over that shorter window rather than the longer two-to-three-month window of an A1c test.

: Why Your Clinician May Order It

: This test is often used when A1c results may be misleading, such as in conditions that affect red blood cells or hemoglobin, including some anemias, hemoglobin variants, pregnancy, or kidney disease. It can also help monitor diabetes control when a shorter feedback interval is useful.

: How the Test Is Done

: Fructosamine is measured in a blood sample, usually drawn from a vein in your arm. The sample is typically collected in a serum or plasma tube and analyzed in the laboratory to determine the concentration of fructosamine.

: What Results Can Mean

: In general, higher fructosamine values suggest higher average glucose over the preceding weeks, while lower values suggest better control. Results are interpreted by your clinician alongside your glucose logs, medications, and other tests; there is no single number that applies to everyone, so your care team will explain what your result means for you.

Reference range

NCBI: Fructosamine 200-285 µmol/LN/A

Specimen: serum

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

: Fructosamine provides an intermediate-term index of glycemic control and is clinically useful when A1c is unreliable due to red cell or hemoglobin issues. It reflects the glycation of serum proteins such as albumin, so conditions that alter protein levels or turnover can affect results. Clinicians interpret fructosamine in the context of the individual patient's goals and other glucose measurements.

Short name

: Fructosamine

Frequently asked questions

: Is fructosamine the same as hemoglobin A1c?
: No. A1c reflects average glucose over about two to three months, while fructosamine reflects average glucose over roughly two to three weeks. They measure glycation of different proteins and are used in different situations.
: Do I need to fast before a fructosamine test?
: Fasting is generally not required for fructosamine. However, follow any specific instructions from your clinician, since other tests drawn at the same time may require fasting.
: Can anything other than blood sugar affect my fructosamine result?
: Yes. Conditions that change protein levels or protein turnover, such as some thyroid, liver, or kidney problems, can influence fructosamine results. Your clinician will consider these factors when interpreting your test.
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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 17, 2026. · Read our editorial policy