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Laboratory test

HbA1c

Other names and abbreviations: glycated haemoglobin

Average blood sugar over the last 2–3 months. Helps diagnose and monitor diabetes.

HbA1c shows what proportion of haemoglobin has “bound” to glucose. It doesn't depend on a single meal, so it reflects long-term diabetes control well.

Typical ranges in adults

ParameterTypical rangeWhat a deviation may mean
HbA1cbelow 5.7%normal
HbA1c5,7–6,4%prediabetes
HbA1c6.5% and abovemay indicate diabetes (needs confirmation)

The ranges are approximate and differ between laboratories; they also depend on age, sex and pregnancy. A result outside the range doesn't always mean illness – discuss it with a doctor.

When it is done

Every 3–6 months in people with diabetes, in diagnosing prediabetes.

How to prepare

No need to fast.

Related terms

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