What the test is
It doesn't require fasting.
Some conditions, like anemia, recent blood loss, pregnancy, or some hemoglobin variants, can make A1C less accurate.
Why it's done
- Screening for diabetes, usually starting at age 35 or earlier with risk factors
- Diagnosing prediabetes or diabetes
- Checking diabetes control, often every 3 to 6 months
Getting ready and what happens
- No fasting is needed.
How the test is done
- A health worker cleans the skin, puts a band around your arm, and draws blood from a vein with a small needle. It takes a few minutes.
- Some clinics use a finger-prick test.
What the results mean
| Result | Typical range for adults |
|---|---|
| Normal | Below 5.7% |
| Prediabetes | 5.7% to 6.4% |
| Diabetes | 6.5% or higher (usually confirmed with a second test) |
| Common goal for many adults with diabetes | Below 7% (your goal may differ) |
Normal ranges vary from lab to lab and can differ by age, sex, and pregnancy. Your report lists your lab's own range next to each result. A result a little outside the range is often not a problem.
Prediabetes range
You have a higher chance of developing type 2 diabetes. Losing a small amount of weight and being more active can lower that risk a lot.
Diabetes range
Your provider will confirm it and talk about a treatment plan.
Average glucose
An A1C of 7% matches an average blood sugar of about 154 mg/dL; 8% is about 183 mg/dL.
Questions to ask your provider
- What do my results mean for me?
- Do I need to repeat this test or have other tests?
- What A1C goal is right for me?
- How often should I be tested?
- Could anything make my A1C inaccurate?
Risks
A blood draw is very safe. You may have slight pain or a small bruise where the needle went in.
Related conditions
Related medicines
Related tests
Sources
Last updated 2026-11-13.