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Laboratory Testing Online / Biochemistry

Hemoglobin A1c (HbA1c)

To estimate average blood glucose exposure over roughly the previous two to three months.
Test profileBIHemoglobin A1c (HbA1c)

Test and specimen

What is being examined?

Test
Hemoglobin A1c (HbA1c)
Department
Biochemistry
Typical sample or measurement
EDTA whole blood
Before the test

Fasting is usually not required. Tell the clinician about anaemia, transfusion, pregnancy or known haemoglobin variants.

Clinical interpretation

Laboratory results should be interpreted by a qualified professional using the correct reference interval, method, symptoms, history and other findings. A normal or abnormal value rarely confirms or excludes a condition by itself.

01

Why the test is performed

To estimate average blood glucose exposure over roughly the previous two to three months.

02

What the test is used for

Screening or diagnosing diabetes in appropriate settings and monitoring longer-term glucose management.

03

How the test is performed

A blood sample is analysed using a standardised method that measures glycated haemoglobin as a proportion of total haemoglobin.

04

Conditions and diseases considered

Used for prediabetes and diabetes pathways. Some haemoglobin variants, anaemia, pregnancy, kidney disease or altered red-cell survival can affect interpretation.

05

Recommended further tests

Fasting plasma glucose, oral glucose tolerance test, repeat HbA1c, kidney risk assessment and lipid profile as clinically indicated.

Primary public reference

Continue with the official patient guide.

COHSEW has summarised this information for navigation and awareness. Follow the source and your healthcare provider’s current instructions for the complete context.

Hemoglobin A1C TestOpen official source

Need professional guidance?

Discuss test appropriateness and results with a qualified clinician.

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