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Hemoglobin A1c (HbA1c) with Mass Concentration Measurement (Serum/Plasma)

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

This test measures the average level of hemoglobin A1c in your blood over the past 2–3 months, reflecting your blood sugar control during that time.

Quick summary

["HbA1c helps doctors assess long-term diabetes management and risk for complications."]

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

Key facts at a glance

LOINC
33026-6
Short code
Hgb BldCoA Calc-mCnc
Synonyms
Hgb BldCoA Calc-mCnc
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
calculated
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

The hemoglobin A1c (HbA1c) test measures your average blood sugar levels over the past two to three months by checking the percentage of hemoglobin in your red blood cells that has sugar attached to it.

HbA1c is a form of hemoglobin (the protein in red blood cells that carries oxygen) that has been linked to glucose (sugar) molecules. It’s a key marker for understanding how well your body has managed blood sugar levels over time, especially in people with diabetes or prediabetes.

Your care team uses the HbA1c test to diagnose prediabetes and type 2 diabetes, monitor how well your current treatment plan is working, and make informed adjustments to your medications, diet, and lifestyle recommendations over time.

Doctors use HbA1c to diagnose diabetes, monitor treatment progress, and adjust medications if needed. It’s a more reliable indicator than checking blood sugar levels at random times because it reflects an average over months.

Keeping your HbA1c within a healthy range lowers your risk of serious long-term complications, including heart disease, kidney damage, nerve problems, and vision loss, which makes regular testing an important part of protecting your overall health.

High HbA1c levels may indicate poor blood sugar control, increasing risks for long-term health problems like nerve damage, kidney disease, or heart disease. Keeping levels within target ranges helps prevent these complications.

The HbA1c test is a simple blood draw, usually taken from a vein in your arm, and it does not require fasting beforehand. The entire process takes only a few minutes, and you can return to your normal activities right afterward.

A simple blood draw from your arm is all it takes. The sample is sent to a lab for analysis, and results are usually available within a few days. No special preparation is needed, but fasting may be required depending on your provider’s instructions.

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.

◆Associated findings1

Short name

HbA1c (Mass Concentration)

Frequently asked questions

HbA1c is a standardized test that provides a snapshot of blood sugar trends, helping clinicians tailor diabetes care. It’s particularly useful for patients with type 1 or type 2 diabetes, as well as those at risk for prediabetes.
How often should I have the HbA1c test, and how frequently will my doctor recommend repeating it if I have diabetes or prediabetes?
Typically, people with diabetes check their HbA1c every 3–6 months, depending on their treatment plan and blood sugar goals. Your healthcare provider will let you know how often to get it based on your individual needs.
What do my HbA1c results mean for my health, and how will my doctor use them to guide my treatment plan?
Results are usually reported as a percentage. For example, 5.7%–6.4% may indicate prediabetes, while 6.5% or higher often signals diabetes. Your provider will interpret results in the context of your overall health and treatment goals.
Yes! Making healthy choices—like eating balanced meals, staying active, and managing stress—can improve HbA1c levels over time. Even small adjustments, such as reducing sugar intake or increasing physical activity, may lead to better blood sugar control.
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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