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Special Instruction : No fasting required
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Sample(s) required : Blood, Whole Blood EDTA (3 ml)
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Overview

HbA1C (Glycated Hemoglobin)

HbA1C (Glycated Hemoglobin)

The HbA1C (Hemoglobin A1C) test, also known as the glycated hemoglobin or glycohemoglobin test, is a blood test that measures your average blood glucose level over the preceding two to three months.

Unlike the Fasting Glucose or Postprandial tests, which provide a snapshot of your sugar level at a single point in time, the HbA1C gives a long-term assessment of how well your blood sugar has been controlled.

When glucose enters the bloodstream, it attaches to the hemoglobin protein inside your red blood cells. Since red blood cells live for about 120 days, the HbA1c test measures the percentage of hemoglobin that has glucose attached ("glycated"), reflecting the average glucose concentration over that time period.


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Frequently asked questions on " HbA1C (Glycated Hemoglobin) "

Hemoglobin: This is the protein found inside red blood cells, responsible for carrying oxygen. Glycation: When glucose is in the bloodstream, it naturally attaches (or glycates) to the hemoglobin protein.Irreversible Attachment: Once glucose attaches to hemoglobin, it stays there for the entire lifespan of the red blood cell, which is typically about 120 days.Measurement: The HbA1C test measures the percentage of your hemoglobin that has glucose attached to it. A higher percentage means more glucose has been in your blood over the past few months.

Your lab report may include the Estimated Average Glucose eAG. This number converts the HbA1C percentage into the same units (e.g., mg/dL or mmol/L) that people use to measure their daily blood sugar. This makes the $\text{HbA1C}$ result easier to relate to daily readings.

The HbA1C provides a broad, stable picture of your overall sugar control, making it a better predictor of long-term diabetes complications. Fasting Glucose is a snapshot, easily affected by what you ate the night before or stress.HbA1C gives an average, which is much harder to influence with short-term diet changes.

No, fasting is not required for the HbA1C test. Since the result reflects an average over 2–3 months, the last meal you ate has no significant effect on the percentage.

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