What HbA1c level means prediabetes or diabetes?

In UK guidance, an HbA1c of 42 to 47 mmol/mol means a high risk of type 2 diabetes, often called prediabetes. A level of 48 mmol/mol or above suggests diabetes, which is confirmed with a second test if you have no symptoms.

Why is a full blood count included?

It gives a general picture of your health, including whether you have anaemia. Anaemia and low iron can make HbA1c less reliable, so the full blood count helps the doctor read your HbA1c result.

How is this different from the Diabetes Status test?

Lipids & HbA1c checks heart and blood sugar markers together and does not need fasting. Diabetes Status focuses on blood sugar, adding fasting glucose, insulin and C-peptide to HbA1c, and needs fasting.

Lipids & HbA1c Blood Test at Jace Medical

Heart & metabolic

Private blood test

Lipids & HbA1c Blood Test

Cholesterol, triglycerides, HbA1c, CRP and a full blood count, for heart and blood sugar health in one test.

9 biomarkers
No fasting needed

£59Includes sample collection

Book this test Ask a question

We confirm your appointment and any preparation, such as fasting, before you attend.

What’s included

9 biomarkers in this test.

No fasting needed

Heart & cholesterol5

Cholesterol and other fats in the blood that are linked to heart health.

HDL
LDL
Total Cholesterol
Total Cholesterol / HDL Cholesterol Ratio
Triglycerides

Blood sugar & diabetes1

How your body manages sugar, including your average level over recent months.

HbA1c

Blood count1

Your red cells, white cells and platelets.

Full Blood Count

Inflammation & immunity2

Signs of inflammation in the body and how your immune system is working.

C-Reactive Protein (CRP)
High Sensitivity C-Reactive Protein (hsCRP)

About this test

Is the Lipids & HbA1c Blood Test right for you?

Who it’s for

You want to check your cholesterol and blood sugar together as part of a general health check.
You are at higher risk of type 2 diabetes, for example you are white and over 40, or over 25 and from a South Asian, Chinese, Black African or Black Caribbean background.
Diabetes, high cholesterol or heart disease runs in your family, or you have high blood pressure or are overweight.
You have been told your blood sugar is borderline (prediabetes) and want to recheck it.

What it can show

Total cholesterol, HDL (“good”) cholesterol, LDL cholesterol, triglycerides and the total cholesterol to HDL ratio make up a standard lipid profile. Doctors use these, with factors such as age and blood pressure, to estimate your risk of heart attack and stroke.
HbA1c shows your average blood sugar over the past 2 to 3 months. It is used to check for type 2 diabetes and to show whether you may be at high risk of it (prediabetes).
CRP and high-sensitivity CRP (hsCRP) measure inflammation. hsCRP picks up low levels that have been linked with heart disease risk.
The full blood count checks your red cells, white cells and platelets. It gives a broad picture of your general health and can show anaemia, which can also affect your HbA1c result.

What it can’t tell you

HbA1c can be misleading if you have anaemia, low iron, a haemoglobin variant such as sickle cell or thalassaemia, recent heavy bleeding or a recent blood transfusion. It is also not used to diagnose diabetes in pregnancy or type 1 diabetes.
One raised HbA1c is not a diagnosis. If you have no symptoms, diabetes is confirmed with a second blood test.
Cholesterol can be temporarily lower during or after an illness, and CRP rises with any infection or injury, so test when you are well.
Results need to be interpreted alongside your symptoms and health history. Diagnosis and treatment of diabetes or high cholesterol are with your GP or specialist.

How it works

From booking to results in three steps.

Step 1
Request your test
Send a booking request online or call us. We confirm your clinic, appointment time and any preparation.
Step 2
Visit the clinic
A short appointment for professional sample collection at Greysteel or Letterkenny. No GP referral needed.
Step 3
Receive your results
Usually within a couple of working days, emailed to you once a doctor has reviewed them.

Common questions

Questions about this test.

No. HbA1c reflects your average blood sugar over the past 2 to 3 months, so a recent meal does not affect it. The cholesterol part of this test does not need fasting either.