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HbA1c Test

General Information About the Test

The HbA1c (Glycated Hemoglobin) test is a critical blood test that indicates the percentage of blood sugar (glucose) attached to the hemoglobin protein in red blood cells. In diabetics, glucose attaches to the red blood cell and remains there for the cell's lifespan, which is approximately 2-3 months. Therefore, HbA1c reflects the average blood sugar level over the past 2-3 months, not the instantaneous blood sugar.

Test Process and Preparation

The importance and process of the HbA1c test for diabetes patients.
What should the HbA1c value be for a diabetes diagnosis?

In healthy individuals, this value is generally below 5.7%. A value between 5.7% and 6.4% indicates you are at risk for Hidden Sugar (Prediabetes). A value of 6.5% and above results in a diagnosis of Diabetes.

What is the difference from Fasting Blood Sugar (FBS)?

Fasting blood sugar shows the sugar level at the exact moment the blood is drawn and can fluctuate instantly depending on what was eaten or drunk the day before. HbA1c, on the other hand, acts like a patient's "report card," showing how faithfully the patient has adhered to their diet and medications over the past 3 months.

Is it mandatory to fast before the test?

No. Since HbA1c shows a 3-month average, whether you are fasting or full at the time of the test absolutely does not change the result. Blood can be drawn at any time of the day.

Is the HbA1c test also reliable during pregnancy?

Because the lifespan of red blood cells and blood volume change during pregnancy, the HbA1c test alone may be insufficient to diagnose gestational diabetes. For this reason, the Oral Glucose Tolerance Test (OGTT) is the gold standard diagnostic method for pregnant women.

The information on this page is for informational purposes only. The results of medical tests must be evaluated by specialist physicians.


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