A glycosylated hemoglobin test (HbA1c) is a blood test that measures the percentage of hemoglobin (a protein found in blood red cells) that has attached to glucose. The higher your blood sugar is, the more that glucose gets attached to your hemoglobin.
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HbA1c shows how high your blood sugar levels have been during the past 3 months.
There are no major complications associated with this test.
You will be asked to sit. An area inside your elbow will be cleaned with an antiseptic wipe. A large band will be tied around your arm. The needle will then be inserted into a vein. A tube will collect the blood from the needle. The band on your arm will be removed. After all the blood is collected, the needle will be removed. Some gauze will be placed over the site to help stop bleeding. You may also be given a bandage to place over the site. The process takes about 5-10 minutes.
Apply pressure to the site until bleeding stops.
Less than 5 minutes
It may hurt slightly when the needle is inserted.
If your HbA1c levels are high and you have never been diagnosed with type diabetes talk to your doctor about what to do next
Talk to your doctor about what goal is right for you. If your HbA1c levels are high, you may need a change in treatment, such as:
Talk with your doctor about when you should be tested again.
After the test, call your doctor if any of the following occurs:
If you think you have an emergency, call for emergency medical services right away.
American Diabetes Association
National Diabetes Education Program
Canadian Diabetes Association
American Diabetes Association. Standards of medical care in diabetes—2014. Diabetes Care. 2014 Jan;37 Suppl 1:S14-80.
Diabetes mellitus type 1. Available at: http://www.dynamed.com/topics/dmp~AN~T116244/Diabetes-mellitus-type-1 . Updated May 31, 2017. Accessed August 29, 2017.
Glycemic control monitoring. Available at: http://www.dynamed.com/topics/dmp~AN~T114088 . Updated May 31, 2017. Accessed August 29, 2017.
HbA1c measurement. Available at: http://www.dynamed.com/topics/dmp~AN~T900926/HbA1c-measurement . Updated February 13, 2017. Accessed August 29, 2017.
Last reviewed September 2018 by
EBSCO Medical Review Board
Michael Woods, MD, FAAP
Last Updated: 8/29/2017