Know Your Numbers: The A1C Test and Blood Sugar Targets, Sourced

Last reviewed 2026-06-20 ยท Source: U.S. NIDDK (NIH).

What the A1C test measures

The A1C test is a blood test that shows your average blood glucose over the past 3 months. It doesn't replace daily checks โ€” it gives the longer-term picture.

Source: NIDDK โ€” The A1C Test & Diabetes

The thresholds (exact numbers)

Normalbelow 5.7%
Prediabetes5.7% to 6.4%
Diabetes6.5% or above

Source: NIDDK โ€” The A1C Test & Diabetes

The common goal โ€” and why yours may differ

Studies show many people with diabetes can lower their risk of complications by keeping A1C below 7%.

But this is not one-size-fits-all: "People will have different A1C targets, depending on their diabetes history and their general health. You should discuss your A1C target with your health care professional." A less strict goal (for example, 7โ€“8%) may be right for some people โ€” such as those with limited life expectancy, a history of severe low blood sugar, or advanced complications.

Source: NIDDK โ€” The A1C Test & Diabetes

How often to test

Experts recommend people with diabetes have an A1C test at least twice a year. Your A1C can also be shown as an estimated average glucose (eAG) in the same mg/dL units as your meter โ€” though eAG won't match any single moment's reading.

Source: NIDDK โ€” The A1C Test & Diabetes