This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Total glycated haemoglobin (GHb)

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Total Glycated hemoglobin

  • defined as hemoglobin with glucose bound to any of these potential sites
    • HbA1c is a subset of glycated hemoglobins. It is defined as hemoglobin with glucose bound at the beginning (N-terminal) of the ß-chain

    • total glycated hemoglobin (total GHb) will include HbA1c plus all the other hemoglobins (including haemoglobin variants) that have glucose bound to lysine side chains and/or to the N-terminal of the alpha-chain
      • HbA1c is the major subfraction of the glycated normal hemoglobin (HbA1)

    • generally about half of the glucose is bound to the HbA1c position with the other half bound at 3 or 4 other sites (lysines)

Reference interval:

  • Diabetes > =9.0%
  • Risk of diabetes 7.3 to 9%
  • Healthy adult: 3.9% to 7.3%

Note that reference ranges may vary between laboratories and based on the assays used.


Related pages

Create an account to add page annotations

Add information to this page that would be handy to have on hand during a consultation, such as a web address or phone number. This information will always be displayed when you visit this page