Hemoglobin A1c (HbA1c) with Mass Fraction Measurement
This test measures the percentage of hemoglobin that is coated with sugar, reflecting your average blood sugar levels over the past 2–3 months.
["HbA1c helps doctors track diabetes control and long-term blood sugar trends."]
Key facts at a glance
- LOINC
- 54070-8
- Short code
- Hgb D MFr DBS
- Synonyms
- Hgb D MFr DBS
- Category
- hematology
- Sample
- serum
- Container
- Red-top tube (SST)
- 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
- 5 mL
- Stability
- Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
- Hemolysis max
- 500
- Lipemia max
- 1000
- Icterus max
- 500
- TAT
- 4–24 hours
- Order
- routine
What HbA1c Measures
HbA1c is formed when hemoglobin binds to glucose over time. It’s a stable marker that reflects your blood sugar levels from roughly 2 to 3 months prior, giving a broader picture than a single blood sugar test. This test is particularly useful for people with diabetes or prediabetes to assess how well their treatment is working.
Why It’s Used in Healthcare
Healthcare providers use HbA1c to diagnose diabetes (typically ≥6.5%), monitor treatment plans, and adjust medications if needed. It’s also a key indicator of long-term blood sugar management, helping prevent complications like nerve damage or kidney disease.
How It’s Done
A small blood sample is taken from your arm, usually by a healthcare professional. The sample is processed to measure the percentage of hemoglobin bound to sugar. No special preparation is needed, but fasting isn’t required.
What Values Mean
Results are reported as a percentage (e.g., 5.7%, 6.4%, 7.5%). A result below 5.7% is generally considered normal, while 5.7%–6.4% suggests prediabetes. Results at or above 6.5% are diagnostic for diabetes. Values above 7% may indicate poor control and require further discussion with your doctor.
Reference range
Adult males: 13.5-17.5 g/dL; Females: 12.0-16.0 g/dLN/A
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
Frequently asked questions
How often should I get this test?
Can I eat or drink before this test?
What if my HbA1c is higher than expected?
Sources
- 1
- 2Lab Tests OnlineSource
- 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.
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