<s>[INST] 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 MG/DL taken 3-23-17).  My HDL is 34 MG/DL. Should I be concerned so fast about this first A1C test? [/INST] 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 kg/M2, 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. </s>