Lab test, blood sugar

HbA1c

Related terms: Glycated haemoglobin, A1c, Haemoglobin A1c, HbA1c test

EstablishedTextbook physiology, or consistent findings reflected in national guidance.
Show on the map Convert units

In brief

Shows what your blood glucose levels have been like over the past two to three months.

What it measures

The amount of haemoglobin in your blood that has glucose attached to it.

Why it is done

To diagnose and monitor type 2 diabetes, and to check how well diabetes management is working.

Reading the results

  • 3.5 to 6.0% (15 to 42 mmol/mol): diabetes unlikely.
  • 6.1 to 6.4% (43 to 47 mmol/mol): a higher risk of developing diabetes and heart disease.
  • 6.5% (48 mmol/mol) or more: diagnostic of diabetes, though the test sometimes needs repeating to confirm the result.

Results are reported as a percentage or in mmol/mol.

Reference ranges

Reference ranges for HbA1c
ResultRange
Diabetes unlikely3.5 to 6.0 per cent (15 to 42 mmol/mol)
Higher risk of diabetes and heart disease6.1 to 6.4 per cent (43 to 47 mmol/mol)
Diagnostic of diabetes6.5 per cent (48 mmol/mol) or more. Sometimes repeated to confirm.

Ranges differ between laboratories. Always compare a result with the range printed on your own report, and ask your doctor what it means for you.

Before the test

None.

Units. Per cent (NGSP) and mmol/mol (IFCC). Convert with the lab units tool.

What can affect the result

  • Anaemia
  • Some blood disorders
  • Pregnancy
  • Iron deficiency
  • Chronic kidney disease
  • A recent blood transfusion

Related topics

Connections

HbA1c measures Blood sugar controlBlood sugar controlHbA1c measures Pre-diabetesPre-diabetesHbA1c measures Type 2 diabetesType 2 diabetesHbA1c measures Blood sugar controlBlood sugar controlHbA1c measures Pre-diabetesPre-diabetesHbA1c measures Type 2 diabetesType 2 diabetes

HbA1c measures

Sources

  1. HbA1cPathology Tests Explained, last reviewed 3 November 2024
  2. IFCC standardisation of HbA1cNGSP

Test information summarised from the sources listed on this page, read on 12 and 19 October 2026. General education only, not medical advice. Spotted a mistake? Please tell us through the HuBu-Intel contact page.

↑ ↓ to moveEnter to openEsc to close