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Hemoglobin A1c (HbA1c) measurement

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

This test measures the average level of hemoglobin A1c in your blood over the past 2 to 3 months, reflecting your blood sugar control during that time.

Quick summary

["HbA1c helps doctors assess how well your diabetes is managed over time."]

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

Key facts at a glance

LOINC
43150-2
Short code
Hb A1c Measurement Device Pnl
Synonyms
Hb A1c Measurement Device Pnl
Category
glucose
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
4
Ref high
5.6
Critical range
2 N/A – 14 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
83037
SNOMED
43387009
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 Does HbA1c Measure?

HbA1c is a form of hemoglobin (the protein in red blood cells that carries oxygen) that has attached a sugar molecule (glucose) from your blood. The percentage of HbA1c in your bloodstream indicates how much glucose has been present over time. This test is a key indicator of long-term blood sugar levels, particularly useful for people with diabetes or prediabetes.

Why Is HbA1c Important?

Unlike a single blood sugar reading, HbA1c provides a snapshot of your average blood sugar levels over several months. It helps doctors determine if your diabetes treatment plan is effective and adjusts care as needed to maintain healthy blood sugar levels.

How Is HbA1c Tested?

The test typically involves a simple blood draw from a vein in your arm. The blood sample is analyzed using an automated device to measure the percentage of HbA1c in your red blood cells. Results are usually available within a few days.

What Are Common HbA1c Levels?

While specific reference ranges can vary by lab, HbA1c levels are often categorized as follows: below 5.7% is generally considered normal for people without diabetes; 5.7% to 6.4% indicates prediabetes; and 6.5% or higher suggests diabetes.

Reference range

Normal: 4.0-5.6%N/A

Specimen: serum

Fasting for 8-12 hours required. Water is permitted. Avoid chewing gum and smoking before the test.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: HbA1c is a critical tool for diagnosing diabetes, monitoring treatment progress, and preventing complications like nerve damage, kidney disease, and cardiovascular issues. Regular monitoring helps ensure your blood sugar stays within a healthy range to reduce long-term risks.

Short name

HbA1c

Frequently asked questions

How often should I get an HbA1c test?
For people with diabetes, HbA1c tests are usually recommended every 3 to 6 months to track blood sugar control. Your healthcare provider may adjust this frequency based on your specific needs and treatment plan.
Can HbA1c levels change quickly?
Yes, HbA1c levels reflect long-term blood sugar trends, so they may not change immediately with short-term fluctuations. However, significant lifestyle or treatment changes (like diet, exercise, or medication adjustments) can take weeks to months to reflect in your HbA1c results.
What factors can affect HbA1c test results?
Several factors, such as pregnancy, certain medications (like birth control or blood pressure drugs), chronic illnesses, or blood loss, can influence HbA1c levels. It’s important to discuss these with your doctor to ensure accurate interpretation of your results.
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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