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Health guide

Diabetes and blood sugar: HbA1c, fasting sugar, and prevention

Diabetes develops quietly. Blood sugar can sit high for years before symptoms appear, doing slow damage to the eyes, kidneys, nerves, and heart. The good news: it is one of the easiest conditions to catch early with two simple, cheap blood tests, and prediabetes is often reversible.

Reviewed by Dr. Vishal Singh, Lab Director

Diabetes & blood sugar, a LabONE health guide

Warning signs of high blood sugar

  • Excessive thirst and a dry mouth
  • Passing urine more often, especially at night
  • Unexplained tiredness or weight loss
  • Slow-healing cuts or frequent infections
  • Blurred vision
  • Tingling or numbness in the hands or feet

HbA1c vs fasting sugar

Fasting blood sugar is a snapshot after an overnight fast. HbA1c is the bigger picture: it reflects your average blood sugar over the past 2-3 months and does not need fasting. Most people are screened with both; HbA1c is the standard for diagnosis and for tracking control.

Who should get tested

Test if you have any warning signs, a family history of diabetes, are overweight, have high blood pressure, or are over 40. If you are already diagnosed, HbA1c is usually checked every 3-6 months.

This guide is for general information and is not a diagnosis. Always discuss your symptoms and results with a doctor. LabONE includes a free doctor consultation with every report.

Tests that help

Recommended panel

SugarShield Basic

8 parameters in one panel

View ₹999

Frequently asked questions

What HbA1c level means diabetes?

Below 5.7% is normal, 5.7-6.4% is prediabetes, and 6.5% or above suggests diabetes. Your doctor will confirm with a repeat or a fasting test.

Is fasting needed for HbA1c?

No. HbA1c reflects a 2-3 month average, so it can be done any time. Fasting sugar does need an 8-12 hour fast.

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