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Hemoglobin A1c (HbA1c) with Mass Fraction Measurement

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
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

Specimen: serum

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?
Typically, people with diabetes get an HbA1c test every 3–6 months to track progress. Your doctor may adjust frequency based on your treatment plan or blood sugar goals.
Can I eat or drink before this test?
No special diet or fasting is required for this test. It measures average blood sugar over time, so timing around meals doesn’t affect results.
What if my HbA1c is higher than expected?
A higher HbA1c may signal poor blood sugar control. Your doctor will review your results with you and may recommend lifestyle changes, medication adjustments, or additional tests to identify causes like stress, illness, or medication side effects.
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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