Test Code 404
Test Details
Hemoglobin A1c (HbA1c)
This test measures the concentration of glucose attached to the hemoglobin in red blood cells. It assesses the average amount of glucose in the blood over the last two to three months.
Methodology
Turbidimetric inhibition immunoassay
Patient Preparation
None
Preferred Specimen
1.0 mL whole blood collected in EDTA (Lavender Top)
Alternate Specimen
Dried Blood collected on an AdvanceDx 100 card
Transport Temperature
Refrigerated (ship on frozen cold packs)
Stability
Refrigerated: 7 days
Lab Values
Hemoglobin A1c (HbA1c)
- Optimal: <5.7%
- Borderline: 5.7–6.4%
- Increased Risk: >6.4%
- Alert: >11.9 %
Clinical Significance
Hemoglobin A1c (HbA1c)
Monitors efficacy of diabetes treatment over time and identifies patients at risk of developing diabetes.1
- Increased risk: 5.7–6.4%
- Diagnosis of diabetes: >6.4%
References:
- American Diabetes Association. Standards of medical care in diabetes. Diabetes Care-2013. Diabetes Care. 2013;36(Suppl 1):11-66.
Treatment Options
Hemoglobin A1c (HbA1c)
- Lifestyle modification
- Glucose stabilizing and/or insulin sensitizing medications
- Glucose lowering medications