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Hemoglobin A1c (HbA1c) by High-Performance Liquid Chromatography (HPLC)

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

This test measures the percentage of hemoglobin that is coated with sugar, reflecting your average blood sugar levels over the past 2–3 months.

Quick summary

["HbA1c helps doctors track diabetes control and long-term blood sugar trends."]

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

Key facts at a glance

LOINC
30353-7
Short code
Hgb BldCoV-mCnc
Synonyms
Hgb BldCoV-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
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 HbA1c Measures

HbA1c reflects how well your blood sugar has been managed over time. It’s tied to the amount of glucose (sugar) that has attached to your red blood cells, which live for about 3 months. This test is a key tool for diagnosing diabetes and assessing treatment effectiveness.

Why It Matters in Diabetes Care

Regular HbA1c testing helps prevent complications like nerve damage, kidney disease, and heart problems by ensuring your blood sugar stays within a healthy range. It’s especially important for people with type 1 or type 2 diabetes.

How It’s Done

A small blood sample is taken from your arm, usually by a phlebotomist. The sample is sent to a lab where it’s analyzed using HPLC to separate and measure hemoglobin variants, including HbA1c.

What to Expect Before or After

No special preparation is needed, but you may feel slight discomfort from the needle. Afterward, you might experience a small bruise or swelling at the site. If you’re on blood thinners, check with your doctor first.

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

Short name

HbA1c

Frequently asked questions

What does an abnormal HbA1c result mean?
An HbA1c below 5.7% is generally considered normal, while 5.7%–6.4% suggests prediabetes. An HbA1c of 6.5% or higher is diagnostic for diabetes. Higher levels may indicate poor blood sugar control and increased risk of complications.
Can HbA1c be affected by other health conditions?
Yes, conditions like anemia, kidney disease, or certain medications (e.g., some blood pressure drugs) can affect HbA1c results. Your doctor may order additional tests if needed.
How often should I get an HbA1c test?
For people without diabetes, tests are often done once a year. Those with diabetes typically get them every 2–3 months to monitor progress. Your doctor will tailor recommendations based on your health.
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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