First 30 Days After Diagnosis, Chapter 2: What the Diagnosis Means

What Your Test Results Mean

The main tests doctors use to diagnose diabetes, and what each one measures.

Understand the tests used to diagnose diabetes.

Doctors use blood tests to check your blood sugar, also called blood glucose.

The A1C test is like a 3 month report card. It shows your average blood sugar over about 3 months, as a percentage.

The fasting test checks blood sugar after not eating for a set time. The glucose tolerance test checks it 2 hours after a sweet drink. It shows how your body handles sugar.

A lab report lists three tests. The A1C shows an average over about 3 months, the fasting test shows sugar after no food overnight, and the 2-hour test shows sugar 2 hours after a sweet drink. Bindu points to each line as you open it.

Each test has its own number for diabetes. A1C of 6.5% or higher falls in the diabetes range.

A fasting result of 126 mg/dL (7.0 mmol/L) or higher does too. So does a 2-hour result of 200 mg/dL (11.1 mmol/L) or higher.

These are cutoffs for diagnosis, not your personal targets.

A horizontal scale marking normal, prediabetes and diabetes ranges for A1C, fasting and 2-hour results.

Key takeaways

  • The A1C test shows your average blood sugar over about 3 months.
  • Diabetes results are usually confirmed with a second test on another day.
  • Ask your doctor to walk you through your own numbers.

Try it

Find your lab report and circle any A1C, fasting or 2-hour numbers you can see on it.

Next lesson: It Is Not Your Fault