<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hello, I took my first A1C test. The results is 6.9 My doctor wants me to retake the test next week. I have a family history of diabetes. Im 48 years old, dont smoke, 6ft tall and weigh 240 lbs. I exercise at least 5 days a week mainly cardio - some strength. And, I make good efforts at eating healthier meals. My total cholesterol is always in a good range 140 MGDL taken 3-23-17. My HDL is 34 MGDL. Should I be concerned so fast about this first A1C test?  <response>: Hello, Thanks for the query. HbA1c is considered normal when it is less than 5.9, between 5.9 to 6.4 is considered as pre-diabetic. 6.5 is confirmed diabetes. So your HbA1c of 6.9 is showing that there is presence of diabetes. Therefore, it needs treatment.Further, looking at your weight and height it is clear that with a BMI of 32.59 kgM2, you have grade 1 obesity. Your ideal body weight should be 182 lbs. That means you are over weight by about 58 lbs. This itself can be a major contributor for inducing diabetes. HbA1c hardly changes in just few days. If you start treatment for diabetes then it takes about 3 months for HbA1c to show the change. My suggestion is, better to start treatment for diabetes in consultation with your physician or a planetologist. Plus follow all the dietary advise and consider weight reduction seriously. Thanks. 