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Fructosamine (Serum)

Published: August 9, 2026Updated: August 16, 2026

This test measures the average blood sugar levels over the past 2 to 3 weeks by assessing glycated proteins in your serum. It helps track how well your blood sugar has been controlled over time, especially useful in patients with diabetes or prediabetes.

Quick summary

["Fructosamine helps monitor long-term blood sugar control without needing a blood draw for hemoglobin A1c."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
33102-5
Short code
GA from FL.Shinozuka96
Synonyms
GA from FL.Shinozuka96
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
us-estimated-from-fl-shinozuka
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

Why Is This Test Done?

Doctors may order a fructosamine test if you have diabetes or prediabetes and need an alternative to hemoglobin A1c, especially if you have conditions like kidney disease or frequent blood transfusions that can affect A1c results. It’s also useful for patients who cannot have an A1c test or when immediate feedback on blood sugar trends is needed.

How Is the Test Performed?

A small blood sample is taken from a vein, usually in your arm. The serum portion of your blood is then analyzed in a lab to measure the levels of glycated proteins.

What Does the Result Mean?

While exact reference ranges can vary by lab, fructosamine levels are generally used to assess average blood sugar control. Higher levels may indicate poor glycemic control, while lower levels may suggest better control. Your healthcare provider will interpret the result in the context of your overall health and medical history.

What Are Common Causes of Abnormal Results?

Fructosamine levels can be affected by recent blood sugar fluctuations, certain medications (like steroids), or conditions that alter protein metabolism. If your results are abnormal, your doctor may recommend further testing or adjustments to your treatment plan.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Fructosamine provides a snapshot of your blood sugar control over a shorter period than hemoglobin A1c, making it valuable for patients who need more frequent updates on their glucose levels. It can help identify trends in blood sugar management and guide treatment decisions, particularly in patients with unstable blood sugar or those who cannot have an A1c test.

Short name

Fructosamine

Frequently asked questions

What does a fructosamine test measure?
A fructosamine test measures the average blood sugar levels by detecting glycated proteins in your serum over the past 2 to 3 weeks, reflecting how well your blood sugar has been controlled.
Can fructosamine replace hemoglobin A1c?
Fructosamine can sometimes replace hemoglobin A1c, especially in patients with conditions that interfere with A1c results (like kidney disease or frequent blood transfusions). However, your doctor will decide if it’s appropriate for your situation based on your overall health and needs.
How often should I get a fructosamine test?
The frequency of fructosamine testing depends on your medical condition and treatment plan. Your healthcare provider will determine how often you need this test, typically alongside other monitoring methods like blood sugar checks or A1c testing.
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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 16, 2026. · Read our editorial policy