Community Answer

Answered by Dr. Emily Smith, MD

The A1C test, also known as the hemoglobin A1C or HbA1c test, is a simple blood test that measures your average blood sugar levels over the past 2-3 months. Here’s how it’s done:

  1. Preparation: No fasting is required for the A1C test. However, your doctor may order other tests (like cholesterol) that might require fasting.
  2. Blood Sample: A healthcare professional will draw a blood sample, usually from your arm or finger.
  3. Testing: The blood sample is sent to a lab where it is analyzed to determine the percentage of your red blood cells that have sugar-coated hemoglobin.
  4. Results: Your A1C result is given as a percentage. The higher the percentage, the higher your average blood sugar levels have been.

Normal Ranges:

  • Normal: Below 5.7%
  • Prediabetes: 5.7% to 6.4%
  • Diabetes: 6.5% or above

Frequency:

  • If you have diabetes, you should have the A1C test at least twice a year.
  • If you have prediabetes, your doctor may recommend testing every 1-2 years.

Note: Certain conditions like anemia, kidney failure, or certain medications can affect the accuracy of the A1C test. Always inform your doctor if you have any of these conditions.

Last updated: 1/16/2025

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