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Hemoglobin A1c (Glycated Hemoglobin) with Mass Fraction Measurement

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

This test measures the percentage of hemoglobin in your blood that has been attached to sugar (glucose) over the past 2–3 months, reflecting your average blood sugar levels during that time.

Quick summary

["HbA1c helps doctors assess how well your blood sugar is controlled over time."]

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

Key facts at a glance

LOINC
71875-9
Short code
HbA1c MFr.DF Bld
Synonyms
HbA1c MFr.DF Bld
Category
hematology
Sample
whole-blood
Container
Lavender-top (EDTA)
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
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

This test measures your average blood sugar levels over the past two to three months. Your doctor may order it to screen for diabetes, check how well your current treatment plan is working, or assess your risk of developing the condition.

Your healthcare provider may order an HbA1c test to monitor long-term blood sugar control, especially if you have diabetes or are at risk for it. It’s often used to check how well diabetes treatments are working or to diagnose diabetes when blood sugar levels fluctuate.

A healthcare professional will draw a small sample of blood from a vein in your arm, usually from the inside of your elbow. The procedure takes only a few minutes, and no fasting or special preparation is needed before the test.

A small blood sample is taken from your arm, usually by a healthcare professional. The test measures the proportion of hemoglobin molecules that have sugar attached, indicating average blood sugar levels from months prior.

Your results show how well your blood sugar has been controlled over time. An HbA1c level below 5.7% is considered normal, while 5.7% to 6.4% suggests prediabetes. A level of 6.5% or higher on two separate tests usually indicates diabetes.

Results are typically reported as a percentage. While exact reference ranges vary by lab, higher percentages generally indicate poorer blood sugar control, while lower percentages suggest better control. Your results will be interpreted by your provider in the context of your overall health.

Possible results include a normal range below 5.7%, a prediabetes range of 5.7% to 6.4%, and a diabetes range of 6.5% or above. Results can also be affected by conditions such as anemia, kidney disease, or recent blood loss.

Possible results may include normal, prediabetes (pre-diabetic), or diabetes ranges, depending on your clinical needs. Your provider will discuss these with you and explain what they mean for your health.

Reference range

Normal: 4.0-5.6%N/A

Specimen: whole-blood

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

Short name

HbA1c

Frequently asked questions

HbA1c is a key tool for diagnosing diabetes and managing long-term blood sugar levels. It provides a snapshot of your average glucose exposure over time, helping prevent complications like nerve damage, kidney disease, or heart disease.
An HbA1c test can help your doctor determine if your diabetes treatment plan is effective, adjust medications if needed, or identify trends in your blood sugar control that require attention.
An HbA1c test is less affected by short-term fluctuations in blood sugar (like from meals or stress) compared to daily blood glucose checks, making it a reliable measure for long-term management.
If your HbA1c is higher than expected, talk with your doctor about adjusting your treatment plan, diet, or exercise routine. Additional testing may be needed to confirm the result and rule out other conditions.
If your HbA1c is elevated, your healthcare provider may recommend lifestyle changes (like diet, exercise, or stress management), medication adjustments, or additional monitoring to improve control. Follow their guidance closely.
The frequency depends on your health status. People with diabetes may get this test every 3–6 months, while those at risk or without diabetes may need it less often. Your provider will set a schedule tailored to you.
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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