Hemoglobin A1c (HbA1c) with mass concentration measurement from whole blood
This test measures the average blood sugar (glucose) levels over the past 2–3 months by examining your red blood cells.
["HbA1c helps track long-term diabetes management and glucose control."]
Key facts at a glance
- LOINC
- 27396-1
- Short code
- Hgb Stl gastro-mCnt
- Synonyms
- Hgb Stl gastro-mCnt
- Category
- hematology
- Sample
- stool
- Container
- Clean container
- Units
- N/A
- Ref low
- 10
- Ref high
- 40
- Critical range
- 7 N/A – 20 N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- CPT
- 84484
- SNOMED
- 302774002
- Specimen volume
- 5 g
- Stability
- Refrigerated: 24h, Frozen: 7d
- TAT
- 4–24 hours
- Order
- routine
The hemoglobin A1c (HbA1c) test gives you and your doctor a clear picture of your average blood sugar levels over the past two to three months, which makes it one of the most important tools for detecting prediabetes, diagnosing diabetes, and checking how well your current treatment plan is working.
Unlike daily blood sugar checks, HbA1c gives a broader picture of how well your body manages glucose over time, which is especially useful for diagnosing or monitoring diabetes.
This test uses a small sample of blood, usually drawn from a vein in your arm at a lab, clinic, or your doctor's office. In some settings, a quick fingerstick sample may be used instead, and the entire visit typically takes only a few minutes from start to finish.
A small blood sample is taken from your arm, typically using a fingerstick. The test measures the percentage of hemoglobin molecules coated with glucose.
No fasting or special preparation is needed before an HbA1c test, so you can eat and drink normally beforehand. After the blood draw, you may notice slight soreness or a small bruise where the needle was inserted, but you can return to your usual activities right away.
No special preparation is needed, but inform your provider about recent illnesses or medications that might affect results. The process takes a few minutes, and results are usually available within days.
Doctors commonly order this test to screen for type 2 diabetes, evaluate symptoms such as increased thirst, frequent urination, or fatigue, monitor blood sugar control in people already diagnosed with diabetes, and assess risk in those with a family history of diabetes or obesity.
Doctors order HbA1c to diagnose type 1 or type 2 diabetes, assess diabetes control in people already diagnosed, or screen for prediabetes.
Reference range
Adult: 10-40 U/LN/A
No special preparation required. Avoid fatty meals before the test if possible.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
Clinical Significance
Short name
HbA1c
Frequently asked questions
HbA1c levels above 6.5% on two separate tests confirm diabetes. Levels between 5.7% and 6.4% suggest prediabetes, indicating higher risk for diabetes and heart disease. Regular monitoring helps adjust treatment plans to improve outcomes.
A result of 6.2% falls within the prediabetes range, meaning your blood sugar levels are consistently higher than normal but not yet diabetic. This is a warning sign to make lifestyle or medical changes to reduce future risk.
If you have diabetes, your doctor may recommend testing every 3 months to monitor progress. If you’re prediabetic, testing every 1–2 years is typical unless advised otherwise.
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