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Hemoglobin A1c (HbA1c) with mass concentration measurement from whole blood

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 long-term blood sugar control.

Quick summary

["HbA1c helps doctors assess how well your diabetes is managed over time."]

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

Key facts at a glance

LOINC
71861-9
Short code
Hgb Lepore MFr.DF Bld
Synonyms
Hgb Lepore MFr.DF Bld
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 is a form of hemoglobin (the protein in red blood cells that carries oxygen) that has been attached to sugar (glucose) from your blood. This test quantifies the percentage of hemoglobin A1c in your blood, giving a snapshot of your average blood sugar levels over time.

Why It’s Used

HbA1c is a key tool for diagnosing diabetes and monitoring treatment effectiveness. It’s particularly useful because it accounts for fluctuations in blood sugar that daily measurements might miss.

How It Works

Blood is drawn from a vein, typically in your arm. The sample is analyzed to determine the proportion of hemoglobin A1c relative to total hemoglobin, usually expressed as a percentage.

What to Expect Before the Test

No special preparation is needed, but you may be asked to fast for 8–12 hours if your doctor specifies it for other tests. Wear comfortable clothing and bring any medications you’re currently taking.

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.

HbA1c levels help identify diabetes (typically ≥6.5%) or prediabetes (4.0–5.7%). Lower-than-normal levels may suggest effective glucose control, while higher levels indicate poor management and potential complications like nerve damage or kidney disease.

Short name

HbA1c

Frequently asked questions

How often should I get this test?
Your doctor will determine the frequency based on your health status. For most people with diabetes, tests are recommended every 3–6 months to track progress and adjust treatments.
What does an abnormal HbA1c result mean?
An elevated HbA1c suggests consistently high blood sugar, which may require lifestyle changes (like diet or exercise) or medication adjustments. A low result may indicate good control, but always discuss results with your healthcare provider.
Can diet or exercise affect HbA1c results?
Yes—dietary changes (e.g., reducing sugar/sugar alcohols) and physical activity can lower HbA1c. However, results reflect your average blood sugar over time, so gradual improvements may take weeks to show.
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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