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Hemoglobin A1c blood
MessageTarget A1C values should be individualized. Better understanding of, A1C test result accuracy is essential if clinicians are to interpret results for Veterans, and discuss treatment options through, the process of Shared Decision Making. The Abbott HgA1c assay should not be used to diagnose or monitor diabetes in patients with altered red cell lifespan, such as homozygous hemoglobin variants, Hb SC, HbF >5% and hemolytic anemia. Heterozygous hemoglobin variants, HbAS, HbAC, HbAD, HbAE, and HbA2 do not affect this assay.
Test Code
Alias/See Also
A1c
Includes
Preferred Specimen
Minimum Volume
Transport Temperature
Specimen Stability
Room temperature: 8 hours
Refrigerated (2 to 8°C): 7 days
Methodology
Enzymatic
Setup Schedule
Reference Range
4.0 - 5.6 % normal |
5.7 - 6.4 pre-diabetes |
>=6.5% diabetic range -if patient has not yet been diagnosed with diabetes, see VA-DoD Diabetes Guidelines for more guidance. http://www.healthquality.va.gov/guidelines/CD/diabetes/ |
Clinical Significance
Hemoglobin A1c measurements are used as an aid in the diagnosis of diabetes mellitus, to identify patients who may be at risk for developing diabetes mellitus, and for the monitoring of long-term blood glucose control in individuals with diabetes mellitus.
Performing Laboratory
Test performed in these BACL Chemistry Labs
Contact: Jonathan Dryjowicz-Burek, West Roxbury 857-203-5973
Alternate contact: Bhumikaben Patel, Bedford 781-687-2976
Last Updated: August 13, 2021