{"id":3204,"date":"2026-11-03T20:21:29","date_gmt":"2026-11-03T19:21:29","guid":{"rendered":"https:\/\/mascothealthcare.com\/blog\/?p=3204"},"modified":"2026-11-03T20:22:02","modified_gmt":"2026-11-03T19:22:02","slug":"hba1c-vs-fasting-blood-sugar","status":"publish","type":"post","link":"https:\/\/mascothealthcare.com\/blog\/hba1c-vs-fasting-blood-sugar\/","title":{"rendered":"HbA1c vs Fasting Blood Sugar: Which Test Should I Do?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Quick answer:<\/strong> A fasting blood sugar shows your blood glucose at one moment, after 8 hours without food. HbA1c shows your average blood sugar over the last 2 to 3 months and needs no fasting. Both can screen for diabetes. HbA1c is best for checking long-term control, but it isn&#8217;t reliable for everyone, including people with sickle cell disease or anaemia.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The cut-offs<\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th><\/th><th>Normal<\/th><th>Prediabetes<\/th><th>Diabetes<\/th><\/tr><\/thead><tbody><tr><td>Fasting blood sugar<\/td><td>Below 100 mg\/dL (5.6 mmol\/L)<\/td><td>100 to 125 mg\/dL<\/td><td>126 mg\/dL (7.0 mmol\/L) or more<\/td><\/tr><tr><td>HbA1c<\/td><td>Below 5.7%<\/td><td>5.7 to 6.4%<\/td><td>6.5% or more<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Diabetes is usually confirmed with a second test, unless you have clear symptoms such as thirst, passing a lot of urine and weight loss.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Which should I choose?<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Screening for the first time:<\/strong> either works. HbA1c is convenient because you don&#8217;t need to fast.<\/li>\n\n\n\n<li><strong>Already diagnosed with diabetes:<\/strong> HbA1c every 3 months shows how well your treatment is working.<\/li>\n\n\n\n<li><strong>Checking sugar after meals:<\/strong> a 2-hour after-meal test (2HPP) can show problems a fasting test misses.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">When HbA1c can mislead<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">HbA1c relies on your red blood cells, so it can be falsely high or low if you have:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>sickle cell disease (SS) or another haemoglobin variant<\/li>\n\n\n\n<li>anaemia, recent heavy bleeding or a recent blood transfusion<\/li>\n\n\n\n<li>pregnancy<\/li>\n\n\n\n<li>advanced kidney disease<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">In these cases, blood glucose tests are more reliable. Tell us your genotype if you know it.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Preparing for a fasting test<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Don&#8217;t eat for 8 hours before (water is fine), and come in the morning, before 10 AM. Read more: <a href=\"https:\/\/mascothealthcare.com\/pages\/prepare_guides\/prepare-diabetes-screen.html\">how to prepare for diabetes screening<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Get tested in Akoka<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The <a href=\"https:\/\/mascothealthcare.com\/tests\/diabetestest.php\">HbA1c test<\/a> and <a href=\"https:\/\/mascothealthcare.com\/tests\/bloodsugartest.php\">blood sugar tests<\/a> are walk-in at Mascot Healthcare, 52 Sholanke Street, off Chemist Junction, Akoka, Lagos, Monday to Saturday, 9 AM to 5 PM. Prices are on our <a href=\"https:\/\/mascothealthcare.com\/pricing.html\">price list<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>This article is general information, not a diagnosis.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The difference between HbA1c and fasting blood sugar, the cut-offs for prediabetes and diabetes, and when HbA1c isn&#8217;t reliable.<\/p>\n","protected":false},"author":1,"featured_media":122,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"pagelayer_contact_templates":[],"_pagelayer_content":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[24],"tags":[42],"class_list":["post-3204","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-wellness-and-health","tag-diabetes"],"magazineBlocksPostFeaturedMedia":{"thumbnail":"https:\/\/mascothealthcare.com\/blog\/wp-content\/uploads\/2023\/08\/diabetes-777002_640-150x150.jpg","medium":"https:\/\/mascothealthcare.com\/blog\/wp-content\/uploads\/2023\/08\/diabetes-777002_640-300x200.jpg","medium_large":"https:\/\/mascothealthcare.com\/blog\/wp-content\/uploads\/2023\/08\/diabetes-777002_640.jpg","large":"https:\/\/mascothealthcare.com\/blog\/wp-content\/uploads\/2023\/08\/diabetes-777002_640.jpg","1536x1536":"https:\/\/mascothealthcare.com\/blog\/wp-content\/uploads\/2023\/08\/diabetes-777002_640.jpg","2048x2048":"https:\/\/mascothealthcare.com\/blog\/wp-content\/uploads\/2023\/08\/diabetes-777002_640.jpg"},"magazineBlocksPostAuthor":{"name":"mascothealthcare","avatar":"https:\/\/secure.gravatar.com\/avatar\/e6245491479ada5c011d746103e188e52935679f353558c771f24bdf2eb1c016?s=96&d=mm&r=g"},"magazineBlocksPostCommentsNumber":false,"magazineBlocksPostExcerpt":"The difference between HbA1c and fasting blood sugar, the cut-offs for prediabetes and diabetes, and when HbA1c isn't reliable.","magazineBlocksPostCategories":["Wellness and Health"],"magazineBlocksPostViewCount":13,"magazineBlocksPostReadTime":2,"magazine_blocks_featured_image_url":{"full":["https:\/\/mascothealthcare.com\/blog\/wp-content\/uploads\/2023\/08\/diabetes-777002_640.jpg",640,427,false],"medium":["https:\/\/mascothealthcare.com\/blog\/wp-content\/uploads\/2023\/08\/diabetes-777002_640-300x200.jpg",300,200,true],"thumbnail":["https:\/\/mascothealthcare.com\/blog\/wp-content\/uploads\/2023\/08\/diabetes-777002_640-150x150.jpg",150,150,true]},"magazine_blocks_author":{"display_name":"mascothealthcare","author_link":"https:\/\/mascothealthcare.com\/blog\/author\/mascothealthcare\/"},"magazine_blocks_comment":0,"magazine_blocks_author_image":"https:\/\/secure.gravatar.com\/avatar\/e6245491479ada5c011d746103e188e52935679f353558c771f24bdf2eb1c016?s=96&d=mm&r=g","magazine_blocks_category":"<a href=\"https:\/\/mascothealthcare.com\/blog\/category\/wellness-and-health\/\" rel=\"category tag\">Wellness and Health<\/a>","yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>HbA1c vs Fasting Blood Sugar: Which Test Should I Do? 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If left unmanaged, it can silently damage various parts of the body over time \u2014 leading to serious health complications. Understanding these risks can empower you or your loved ones to take control early and prevent long-term harm. At Mascot Healthcare, we\u2026","rel":"","context":"In &quot;Wellness and Health&quot;","block_context":{"text":"Wellness and Health","link":"https:\/\/mascothealthcare.com\/blog\/category\/wellness-and-health\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":3014,"url":"https:\/\/mascothealthcare.com\/blog\/5-most-important-health-checks-for-women-above-50\/","url_meta":{"origin":3204,"position":5},"title":"5 Most Important Health Checks for Women Above 50","author":"mascothealthcare","date":"September 14, 2026","format":false,"excerpt":"Hormonal shifts and aging change a woman's health risks after 50. 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