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Serum Hemoglobin A1c (HbA1c) with Mass Concentration Measurement

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

This test measures the percentage of hemoglobin that is glycated (attached to sugar) in your red blood cells, reflecting your average blood sugar levels over the past 2–3 months.

Quick summary

["HbA1c helps doctors assess long-term blood sugar control for diabetes or prediabetes."]

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

Key facts at a glance

LOINC
75928-2
Short code
Hgb BldA-sCnc
Synonyms
Hgb BldA-sCnc
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
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 This Test Measures

HbA1c reflects how well your blood sugar has been managed over time. It’s a stable marker because red blood cells live for about 3–4 months, so it integrates your blood sugar trends from that period.

Why It Matters for Your Health

High HbA1c levels may indicate poor blood sugar control, increasing risks for complications like nerve damage, kidney disease, or heart disease. Low levels might suggest consistently healthy glucose management.

How It’s Done

A small blood sample is taken from your arm, usually during a routine visit. The test measures the percentage of glycated hemoglobin in your serum (liquid part of blood).

What to Expect Before or After

No special preparation is needed, but inform your provider if you’re taking certain medications (e.g., blood thinners) or have recent blood transfusions. Results are typically ready within 24–48 hours.

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.

HbA1c is a key tool for diagnosing diabetes (typically ≥6.5%) and monitoring treatment in people with prediabetes (5.7%–6.4%) or diabetes. It’s more reliable than random blood sugar checks for long-term trends.

Short name

HbA1c

Frequently asked questions

How often should I get this test?
Your doctor will recommend how often based on your health status. For diabetes, annual testing is standard, but more frequent checks may be needed if you’re managing complex conditions.
What do my results mean?
Results are usually reported as a percentage (e.g., 5.8%). A level below 5.7% suggests good control, 5.7%–6.4% indicates prediabetes, and 6.5% or higher may mean diabetes. Your provider will interpret results in context with your overall health.
Can lifestyle changes affect this test?
Yes! Healthy eating, regular physical activity, and managing stress can lower HbA1c. Even small improvements in diet or exercise may take 2–3 months to show in test 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