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Laboratory test

HbA1c Test (Glycated Haemoglobin)

A blood test reflecting average glucose exposure over roughly the previous two to three months.

Also known as

HbA1c · A1c Test · Glycated Haemoglobin · Glycosylated Haemoglobin · HbA1c Test · Haemoglobin A1c · Glycohemoglobin

Sample
Blood
Fasting
Not required
Expected report time
Same day / 24 hours
Parameters
3

HbA1c Test: quick answers

HbA1c Test full form
Glycated Haemoglobin
HbA1c Test price
₹399, home sample collection
Normal range (adults)
Normal: Below 5.7%; Prediabetes: 5.7–6.4% more
Done for
Diagnosing diabetes and prediabetes; Checking long-term control every 3 to 6 months in people with diabetes; Deciding whether treatment needs to change
Fasting
Not required
Report
Same day / 24 hours

What is the HbA1c Test?

HbA1c measures glycated haemoglobin and provides an estimate of average blood glucose exposure over roughly the previous two to three months. It is commonly used for diabetes assessment and for monitoring longer-term glucose control. Results are interpreted in the context of the person’s health and other investigations.

HbA1c Test normal range

MeasurementTypical adult value
NormalBelow 5.7%
Prediabetes5.7–6.4%
Diabetes6.5% or higher
Common treatment target with diabetesBelow 7% (individualised)

HbA1c can read falsely high or low with anaemia, haemoglobin variants such as thalassaemia trait, recent blood loss or transfusion, pregnancy and advanced kidney disease. In those cases doctors rely more on glucose readings.

Ranges differ between laboratories and methods. The reference range printed on your own report is the one to read your result against.

What your HbA1c Test result means

High
5.7–6.4% suggests prediabetes and 6.5% or more meets the criterion for diabetes. In someone already treated, a rising HbA1c means sugar has been higher on average over recent months.
Low
A value below the normal range is unusual. It can follow blood loss, haemolysis or a transfusion, or reflect frequent low sugars in someone on diabetes medicine.

One result is not a diagnosis. A doctor reads it with your symptoms, history, medicines and other tests.

HbA1c Test levels: what does my number mean?

HbA1c 5.4%
Normal. Below 5.7% is the non-diabetic range; 5.4% corresponds to an average blood sugar of about 108 mg/dL over the last two to three months.
HbA1c 5.7% to 6.4%
The prediabetes range. Blood sugar is higher than normal but below the diabetes cut-off. Weight loss, activity and diet changes lower the risk of progressing; the test is usually repeated every year. Often checked next: FBS Test.
HbA1c 6.5%
6.5% or higher is the cut-off for diabetes. Without clear symptoms or a very high sugar reading, the diagnosis is confirmed by repeating HbA1c or doing a fasting sugar test. 6.5% equals an average sugar of about 140 mg/dL. Often checked next: FBS Test.
HbA1c 7%
The usual target for many adults with diabetes is below 7%, which is an average sugar of about 154 mg/dL. Targets are set individually; older adults or people prone to low sugars often have a higher one.
HbA1c 7.6% to 8%
Above the usual target. 8% is an average sugar of about 183 mg/dL. Doctors usually review diet, activity and medicines, and recheck HbA1c after three months. Often checked next: PPBS Test.
HbA1c 9% to 10% or higher
Well above target: 9% is an average sugar of about 212 mg/dL and 10% about 240 mg/dL. Sugar this high over months raises the risk of kidney, eye and nerve damage, and needs a doctor's review of treatment soon. Often checked next: RFT Test.

Typical adult cut-offs. Read your number against the range printed on your own report, and with a doctor if it is outside it.

Why is the HbA1c Test done?

  • Diagnosing diabetes and prediabetes
  • Checking long-term control every 3 to 6 months in people with diabetes
  • Deciding whether treatment needs to change
  • Screening adults with risk factors such as obesity or a family history

What does the HbA1c Test (Glycated Haemoglobin) measure?

3 parameters. Expand a group to see the measurements, units and available method details.

Diabetes2 parameters
ParameterUnitCatalogue methodLOINC
HbA1c (Glycated Haemoglobin)%Fully Automated H.P.L.C4548-4
Estimated Average Glucose (eAG, mg/dL)mg/dLDerived from HbA1c values27353-2
Other measurements1 parameter
ParameterUnitLOINC
HbA1c (IFCC)mmol/mol59261-8

The reference interval printed on your actual laboratory report governs interpretation. Intervals can vary by laboratory, method, age, sex and pregnancy. Methods can also vary by processing laboratory.

HbA1c Test: sample & preparation

Sample: Blood. Fasting: Not required.

  • No fasting is needed for this test; you may eat and drink normally before your blood is drawn.

HbA1c Test in your city

Frequently asked questions

Is fasting required for the HbA1c test?
No. HbA1c reflects the past 2 to 3 months, so a meal before the test does not change it. You can give the sample at any time of day.
What does an HbA1c of 7% mean?
An HbA1c of 7% corresponds to an estimated average glucose of about 154 mg/dL. It is above the diabetes cut-off of 6.5%, and is the usual target many adults with diabetes aim to stay below.
What is the normal HbA1c level?
Below 5.7% is normal. 5.7 to 6.4% is prediabetes, and 6.5% or above is in the diabetes range.
How often should HbA1c be tested?
The ADA suggests at least twice a year when diabetes is stable and on target, and every 3 months when treatment has changed or targets are not met. People with prediabetes are usually rechecked yearly.
HbA1c vs fasting blood sugar: which is better?
Fasting sugar is a single snapshot; HbA1c is a 3-month average and needs no fasting. Each can miss cases the other picks up, so doctors often order both.
How much does the HbA1c Test (Glycated Haemoglobin) cost?
The current online price is ₹399. Review your booking total before payment.
Can I book this test for home collection?
Yes. Add your collection address and choose an available collection slot at checkout.
When is the report expected?
The catalogue lists Same day / 24 hours. Confirm the collection and report schedule with the booking team.
Can I book this with other tests?
You can add available tests to the same cart. Review the combined preparation instructions and collection requirements with the booking team.

Sources: American Diabetes Association. Standards of Care in Diabetes 2025, section 2; ICMR Guidelines for Management of Type 2 Diabetes, 2018. General information, not medical advice.

This page gives catalogue facts only (sample, preparation, report time) and has not been reviewed by a doctor. It is general information, not a diagnosis or advice for you: your doctor decides which tests you need and what the results mean.

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3 parameters · No fasting required · Report time: Same day / 24 hours

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