Hemoglobin A1c (HbA1c) with 24-hour urine collection for albumin excretion rate (AER)

What Does This Test Measure?

The **HbA1c** test reflects your average blood sugar levels over the past 2–3 months by measuring the percentage of hemoglobin (a protein in red blood cells) that has sugar attached. This provides a snapshot of how well your diabetes is controlled over time. The **24-hour urine albumin test** detects tiny amounts of albumin (a protein) in your urine, which can indicate early kidney damage, especially in people with diabetes.

Why Is This Test Important?

Combining these tests helps doctors assess both your blood sugar control and kidney function. High HbA1c levels suggest poor diabetes management, while elevated urine albumin may signal kidney strain, even if your blood sugar seems well-controlled otherwise.

How Is This Test Done?

You’ll provide a blood sample (for HbA1c) and a 24-hour urine collection (for albumin). The urine sample is collected in a container over the full day, while the blood test is typically drawn from a vein in your arm. Results are analyzed in a lab to determine your levels.

What Might These Results Tell Your Doctor?

High HbA1c (typically ≥6.5%) suggests poor diabetes management and may require lifestyle or medication adjustments. Elevated urine albumin (above normal thresholds) may prompt further kidney tests or closer monitoring of blood pressure and diabetes control.