Skip to content

Hemoglobin A1c (HbA1c) with calculated mean glucose index (calculated from glycated hemoglobin)

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

This test measures your average blood sugar levels over the past 2–3 months by analyzing the percentage of hemoglobin molecules that have sugar (glucose) attached. It helps doctors assess long-term blood sugar control.

Quick summary

["HbA1c reflects your blood sugar management over time, not just recent spikes."]

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

Key facts at a glance

LOINC
105040-0
Short code
Hgb BldMV Calc-mCnc
Synonyms
Hgb BldMV 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

What Is HbA1c Used For?

HbA1c is primarily used to diagnose diabetes, monitor long-term blood sugar control, and guide treatment plans. It’s a key indicator of how well your body manages glucose levels, especially important for people with type 1 or type 2 diabetes.

How Is HbA1c Different from Recent Blood Sugar Checks?

Unlike quick blood sugar tests (e.g., fingerstick glucose), HbA1c gives a broader picture by measuring the percentage of hemoglobin coated with sugar. This helps identify trends over time rather than just immediate readings.

How Is This Test Performed?

A small blood sample is taken from your arm, usually during a routine visit. The test measures the percentage of glycated hemoglobin in your red blood cells, which reflects average blood sugar exposure over months.

What Does an HbA1c Result Mean?

Results are typically reported as a percentage (e.g., 5.7%, 6.5%, 7.0%). Lower percentages (closer to 5.7%) suggest better blood sugar control, while higher values indicate poorer management. Exact thresholds for diabetes diagnosis vary by lab and guidelines.

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 (Glycated Hemoglobin)

Frequently asked questions

Why do doctors order this test?
Doctors use HbA1c to diagnose diabetes (typically ≥6.5%) and assess whether diabetes treatments (like medication or diet) are working. It’s also useful for pre-diabetes screening (HbA1c 5.7%–6.4%) to prevent complications.
How often should I get this test?
For people without diabetes, tests may be done once a year. Those with diabetes often get results every 3–6 months to track progress and adjust care plans.
Can HbA1c be affected by other health conditions?
Yes, conditions like kidney disease, anemia, or certain medications (e.g., blood thinners) can influence HbA1c results. Always discuss your full medical history with your provider.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

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