| You could also get an A1c of 4.9% with very high blood sugars if you had anemia or one of several genetic variants of red blood cell that screw up the A1c test, including sickle cell.
It's depressing that doctors aren't aware that anemia will lower the A1c result and make it completely worthless. I have heard of people who were testing over 200 at every meal who had 4% A1cs and doctors who told them they were doing great.
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A1c 5.7% 10 years after diagnosis.
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