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Hemoglobin A1c (HbA1c) by Electrophoresis

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

This test measures the average level of blood sugar (glucose) over the past 2–3 months by analyzing hemoglobin in your red blood cells.

Quick summary

["Helps track long-term blood sugar control for diabetes management."]

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

Key facts at a glance

LOINC
4558-3
Short code
Hgb Barts Bld Ql Elph Acid
Synonyms
Hgb Barts Bld Ql Elph Acid
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-ph
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

What Does This Test Measure?

HbA1c reflects your blood sugar levels over time because hemoglobin stays in red blood cells for about 120 days. It’s a key indicator of how well your diabetes is managed, especially if you’ve had it for several years.

Why Is This Test Important?

Regular HbA1c testing helps prevent complications like nerve damage, kidney disease, or heart disease by showing whether your blood sugar stays within healthy ranges.

How Is This Test Done?

A small blood sample is taken from your arm, usually during a routine visit. The sample is then analyzed using electrophoresis to separate hemoglobin types and measure HbA1c levels.

What Are Common Results?

Results are reported as a percentage (e.g., 6.5%). While exact ranges vary by lab, higher percentages indicate poorer blood sugar control, while lower ones suggest better management.

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: HbA1c is a gold-standard marker for diabetes management. Values above 7% may signal uncontrolled diabetes, prompting adjustments to treatment (e.g., diet, medication). It’s also used to assess prediabetes (5.7–6.4%) or preexisting diabetes progression.

Short name

HbA1c

Frequently asked questions

How often should I get this test?
Typically, people with diabetes check HbA1c every 3–6 months, depending on their treatment plan and blood sugar goals. Your doctor will determine the best schedule for you.
What does an abnormal HbA1c result mean?
An elevated HbA1c suggests your blood sugar has been consistently high, which can harm your body over time. A low result may indicate good control, but your doctor will discuss next steps based on your overall health.
Can diet or exercise affect HbA1c results?
Yes—diet, exercise, and medications directly impact HbA1c. Small, sustained lifestyle changes (like balanced meals or physical activity) can improve results, but sudden shifts may require medical review.
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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