Community Answer

Answered by Dr. Emily Carter, MD 🩺

Several factors can cause a falsely high A1C result, including:

  • Anemia: Conditions like iron-deficiency anemia or vitamin B12 deficiency can increase A1C levels.
  • Kidney Disease: Impaired kidney function can affect red blood cell turnover, leading to higher A1C readings.
  • Liver Disease: Liver conditions may alter hemoglobin metabolism, impacting A1C results.
  • Blood Disorders: Sickle cell anemia or thalassemia can cause elevated A1C levels.
  • Medications: Certain drugs, such as opioids or HIV medications, may interfere with A1C accuracy.
  • Pregnancy: Hormonal changes during pregnancy can affect A1C levels.

If you suspect any of these factors apply to you, consult your healthcare provider for further evaluation and alternative testing methods.

Last updated: 1/12/2025

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