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Glycosylated hemoglobin A2 (HbA₂) by electrophoresis

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

This test measures the percentage of a specific type of hemoglobin (HbA₂) in your blood, which is linked to how well your body produces certain types of red blood cells. It’s often used to diagnose or monitor conditions affecting red blood cell production.

Quick summary

["HbA₂ helps assess conditions like thalassemia or iron deficiency anemia."]

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

Key facts at a glance

LOINC
4552-6
Short code
Hgb A2 MFr Bld Elph
Synonyms
Hgb A2 MFr Bld Elph
Category
hematology
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
12
Ref high
17.5
Critical range
7 N/A – 20 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
electrophoresis
CPT
85018
SNOMED
900000000000003004
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

Why is this test done?

Your healthcare provider may order an HbA₂ test to check for genetic blood disorders, such as thalassemia, which can cause problems with making healthy red blood cells. It may also be used in people with iron deficiency or other conditions affecting red blood cell production.

What does the test involve?

A small blood sample is taken from a vein in your arm. The blood is then separated and analyzed using an electrophoresis method to measure the HbA₂ levels.

What should you expect before the test?

No special preparation is needed for this test. You may have some mild discomfort or bruising at the injection site, but it usually goes away quickly.

What are the results typically used for?

HbA₂ levels help diagnose or monitor thalassemia and other blood disorders. Higher levels may indicate certain genetic conditions, while lower levels could suggest other health issues affecting red blood cell production.

Reference range

Adult males: 13.5-17.5 g/dL; Females: 12.0-16.0 g/dLN/A

Specimen: whole-blood

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.

Clinical significance: HbA₂ is an important marker for inherited blood disorders like thalassemia. Elevated levels can indicate abnormal red blood cell production, while low levels may suggest conditions that interfere with hemoglobin synthesis or red blood cell development. Regular monitoring can help manage these conditions effectively.

Short name

HbA₂ (Electrophoresis)

Frequently asked questions

What does an abnormal HbA₂ result mean?
An abnormal HbA₂ result may signal a genetic blood disorder, such as thalassemia. Your healthcare provider will discuss the results with you and may recommend further testing or follow-up to determine the best course of action.
How often should I get this test?
The frequency of this test depends on your health condition and medical needs. Your healthcare provider will let you know how often you should get it, whether it’s part of routine monitoring or for specific symptoms.
Can diet or lifestyle affect HbA₂ levels?
Diet and lifestyle factors like diet, exercise, or certain medications may indirectly influence overall blood health but do not directly affect HbA₂ levels. This test focuses specifically on the hemoglobin type and is not influenced by short-term dietary changes.
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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