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How we vet brands and products Healthline only shows you brands and products that we stand behind.
Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we: Evaluate ingredients and composition: Do they have the potential to cause harm?Fact-check all health claims: Do they align with the current body of scientific evidence?Assess the brand: Does it operate with integrity and adhere to industry best practices? We do the research so you can find trusted products for your health and wellness. We scoured the options and found that test kits from LetsGetChecked, Everlywell, Verisana, myLAB Box, DTILaboratories, and PTS Diagnostics are the best for monitoring A1C levels at home.
According to the Centers for Disease Control and Prevention (CDC), 37.1 million people ages 18 and older had diabetes in the United States in 2019. More concerning: 8.5 million adults who met the criteria for diabetes hadn’t received a diagnosis.
Diabetes tests, like A1C tests, are useful both as a:
tool to screen or diagnose prediabetes or diabetes metric for monitoring how diabetes is progressing Your A1C , or HbA1c, as it’s sometimes referred to, is like a snapshot of your glucose readings over the past 8–12 weeks.
While your blood glucose readings can fluctuate throughout the day, your A1C is an average of these readings. The higher your level is, the more at risk you are of having complications from diabetes.
Your A1C can fluctuate with:
lifestyle changes certain medications hormonal changes Because of this, it’s important to make sure you’re checking your levels at least twice per year if you’re getting treatment for diabetes, according to the American Diabetes Association .
It’s possible you may want to check your A1C more often if your doctor recommends it.
You can take this test at your doctor’s office, but with advances in telehealth, you now have more options for at-home testing.
Some people do at-home tests as a supplement to routine monitoring. If your goal is to substitute home testing for a test ordered by your doctor, it’s a good idea to first discuss it with them.
To select the best HbA1c test kits, we considered the following factors:
We reviewed the type of testing offered and whether testing was done at home or by going to a lab. The variety of these test kits allows for options for every person’s unique needs.
Learn more about how we select and vet products.
Results in: 2–5 days Insurance coverage: none *Price is accurate as of the date of publication.
Healthline's review LetsGetChecked offers two options for diabetes testing:
You can choose free delivery for standard shipping, or, for a fee, express delivery.
You activate your test when you receive the box and answer a short questionnaire. Instructional videos are easily found on the testing page. If any results are out of range, a nurse will call you before your results appear on the platform.
Learn more about LetsGetChecked here.
Pros & cons Samples are analyzed in CAP and ISO accredited labs that are CLIA certified. The app is available for your phone (iOS and Android) or tablet. There are two test options, depending on the data you're looking for. You can't use promotional codes for subscription purchases. LetsGetChecked doesn't accept insurance. Tests can't ship to certain states or Air/Army post offices. Samples are analyzed in CAP and ISO accredited labs that are CLIA certified. The app is available for your phone (iOS and Android) or tablet. There are two test options, depending on the data you're looking for. You can't use promotional codes for subscription purchases. LetsGetChecked doesn't accept insurance. Tests can't ship to certain states or Air/Army post offices. Product details Collection method: finger prick Shipping cost: free shipping Follow-up guidance: clinical team may call to explain your results if they’re out of range Tests for: hemoglobin A1C Returns: cancellation within 14 days Shipping: free shipping Collection method: finger prick Shipping cost: free shipping Follow-up guidance: clinical team may call to explain your results if they’re out of range Tests for: hemoglobin A1C Returns: cancellation within 14 days Shipping: free shipping
Best for membership options Results in: 5 days Insurance coverage: none *Price is accurate as of the date of publication.
Healthline's review Everlywell launched in 2015 and offers a wide range of at-home testing, including an A1C test.
If you decide to become a member, you get access to significant discounts on the testing options. For $24.99 per month, you can have one qualifying test shipped to you.
After you order and pay for your test, it ships to your home in 5–10 business days. You’ll register your kit once it’s delivered using the ID number on the box.
Testing is done by pricking your finger, and instructional videos are available on the site.
A physician reviews your results, and you get those results delivered to your online account within 5 business days. This report also contains details of how to interpret your results. If the results are positive, or out of normal range, a physician will contact you to go over the results and discuss next steps.
Learn more about Everlywell here.
Pros & cons Discounted pricing is available with a membership. The labs are CLIA certified. Everlywell offers personalized results, including an optional live webinar to learn more about your results. This test is not available in New York. Everlywell doesn't take insurance. Everlywell has a slower processing time than other companies. Discounted pricing is available with a membership. The labs are CLIA certified. Everlywell offers personalized results, including an optional live webinar to learn more about your results. This test is not available in New York. Everlywell doesn't take insurance. Everlywell has a slower processing time than other companies. Product details Collection method: finger prick Follow-up guidance: physician may contact you to explain your results if they’re out of range Returns: returns within 15 days for refund Shipping: free shipping Collection method: finger prick Follow-up guidance: physician may contact you to explain your results if they’re out of range Returns: returns within 15 days for refund Shipping: free shipping
Best for detailed results Results in: 3 weeks Insurance coverage: none *Price is accurate as of the date of publication.
Healthline's review You’ll receive your Verisana HbA1c kit within 5–7 days of ordering. Follow the instructions on the website to collect a finger-prick blood sample and send it to the lab.
Verisana sends your results via email within 3 weeks. Results include a lab report explaining the analyzed markers and symptoms that may arise if blood sugar levels are outside normal range.
Verisana doesn’t provide medical advice and encourages you to visit a healthcare professional to interpret your results and receive guidance.
According to the website, Verisana values customer privacy and doesn’t disclose your information to unauthorized third parties.
Due to regulations, Verisana tests are not available in Maryland, New York, New Jersey, and Rhode Island.
Pros & cons The results are insightful and easy to interpret. Sample collection is easy and convenient. Getting results can take up to 3 weeks. The website can be difficult to navigate. Verisana doesn't accept insurance. The results are insightful and easy to interpret. Sample collection is easy and convenient. Getting results can take up to 3 weeks. The website can be difficult to navigate. Verisana doesn't accept insurance. Product details Collection method: finger prick Follow-up guidance: none, but Verisana offers to help you find guidance in your area Returns: cancellation within 2 weeks Shipping: free shipping Collection method: finger prick Follow-up guidance: none, but Verisana offers to help you find guidance in your area Returns: cancellation within 2 weeks Shipping: free shipping
Results in: 2–5 days Insurance coverage: none *Price is accurate as of the date of publication.
Healthline's review MyLAB Box has been providing at-home test services since 2014. The company’s specialty is sexually transmitted infection (STI) testing , but there are plenty of other tests.
Unlike other companies, myLAB Box offers testing in all 50 U.S. states, but the A1C test is temporarily unavailable in New York.
Ordering your test online is easy. It ships to you in discreet packaging.
You activate your A1C test online with the provided ID number, and then you collect your sample using the finger-prick method, which takes 5 minutes.
The sample needs to be mailed on the day you take the test. If your results come back out of range, you have the option of a free telehealth consultation with a physician.
Pros & cons The tests are approved by the Food and Drug Administration (FDA). The results are ready in 2–5 days. MyLabBox offers a free consultation from a physician for out-of-range results. It costs more than the tests from other companies. There's no after-hours support available. A1C testing is unavailable in New York at this time. The tests are approved by the Food and Drug Administration (FDA). The results are ready in 2–5 days. MyLabBox offers a free consultation from a physician for out-of-range results. It costs more than the tests from other companies. There's no after-hours support available. A1C testing is unavailable in New York at this time. Product details Collection method: finger prick Follow-up guidance: option of a free virtual consultation with a physician if test results are out of range Returns: no returns or refunds Shipping: free shipping Collection method: finger prick Follow-up guidance: option of a free virtual consultation with a physician if test results are out of range Returns: no returns or refunds Shipping: free shipping
Results in: 24 hours Insurance coverage: none *Price is accurate as of the date of publication.
Healthline's review Considered a leader in HbA1c testing, DTILaboratories test kits have been approved by the FDA since 1998. The company specializes in diabetes testing.
In addition to the A1C test, DTILaboratories also offers diabetes education and counseling. There are also kits related to diabetes care, such as monofilaments for testing the loss of sensation in your feet.
Delivery is typically 2 days from the time you pay. You’re assigned a secured ID and password for the site. Your test kit comes with a patient ID, a sample collection device, and a capillary device for pricking your finger. Only one drop of blood is needed. You can mail your sample back right away — no waiting for it to dry.
The AccuBase A1C Home Test Kit is FDA approved, unlike many other home test kits. The kit uses HPLC-IE, which is a testing method known for more accurate results. This is because it tests for abnormal hemoglobins that can interfere with A1C results.
Pros & cons Results arrive within 24 hours. It uses HPLC-IE lab techniques. The test is FDA approved and CLIA certified. The website can be difficult to navigate. There's no follow-up for out-of-range results. There's no medical professional to interpret your results for you. Results arrive within 24 hours. It uses HPLC-IE lab techniques. The test is FDA approved and CLIA certified. The website can be difficult to navigate. There's no follow-up for out-of-range results. There's no medical professional to interpret your results for you. Product details Collection method: finger prick Follow-up guidance: none Shipping: free shipping Collection method: finger prick Follow-up guidance: none Shipping: free shipping
Results in: 5 minutes Insurance coverage: none Healthline's review You can use the PTS Diagnostics A1CNow SelfCheck monitor to check A1C levels at home.
To perform the test, you need to collect a finger-prick blood sample. You’re able to view your results in 5 minutes. Each National Glycohemoglobin Standardization Program (NGSP) certified meter comes with four test strips.
According to PTS Diagnostics, the A1CNow SelfCheck is appropriate for people with diabetes who must check their A1C levels quarterly. It’s also an option for people who want to prevent or manage diabetes. The compact, portable device stores easily at room temperature.
This device expires, so check out the expiration date before making your purchase.
Pros & cons It's user-friendly. It's NGSP certified. Results come back in 5 minutes. There are potential test errors. You can't buy test strips separately from the monitor. It's user-friendly. It's NGSP certified. Results come back in 5 minutes. There are potential test errors. You can't buy test strips separately from the monitor. Product details Collection method: finger prick Follow-up guidance: none Returns: free returns for Prime members Shipping: free shipping for Prime members Collection method: finger prick Follow-up guidance: none Returns: free returns for Prime members Shipping: free shipping for Prime members
If your A1C levels are outside your target range or you want to discuss your results, make an appointment to talk with a doctor .
High A1C levels may be a sign of an underlying condition or diabetes. This can cause complications and symptoms , such as headache, fatigue, and frequent thirst and urination.
Your doctor may take additional tests, change your medication, or modify your treatment plan.
If you have diabetes and are meeting your treatment goals, visit your doctor every 6 months. If it’s difficult to meet your treatment goals, visit your doctor every 3 months.
Also meet with a doctor if you:
think you have diabetes have a high chance of developing diabetes develop any new symptoms or health conditions have existing health concerns that worsen Are A1C test kits accurate? According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) , some things can skew results. Your home reading should never be used to diagnose diabetes.
Can you get a false A1C reading? It’s possible to have a false A1C reading.
Certain conditions , such as hemolytic anemia or an enlarged spleen , can cause a false low reading. Other factors, such as older age or obesity, can elevate A1C levels, too, even if you don’t have diabetes.
What are the symptoms of a high A1C? If you have a high A1C, it’s a sign your treatment is not managing your diabetes well, and your blood sugar is too high.
You might experience the following symptoms:
increased thirst fatigue nausea dry mouth shortness of breath frequent urination fruity smell on your breath It’s important to use your A1C as part of your diabetes monitoring, but it doesn’t replace daily blood sugar checks.
There are instances when your A1C might not be accurate. Always make sure you’re informing your doctor of your results and any symptoms you may be having.