Community Answer

Answered by Dr. Emily Carter, MD 🩺

Yes, the A1C test can sometimes provide inaccurate results due to various factors. Here are some conditions and situations that may affect the accuracy of the A1C test:

  • Anemia: Severe anemia, especially iron-deficiency anemia, can lead to falsely high or low A1C results.
  • Kidney or Liver Disease: These conditions can alter red blood cell turnover, affecting A1C levels.
  • Blood Disorders: Conditions like sickle cell anemia or thalassemia can interfere with the test.
  • Medications: Certain drugs, such as opioids or HIV medications, may impact A1C results.
  • Pregnancy: Hormonal changes during pregnancy can affect blood sugar levels and A1C accuracy.
  • Recent Blood Loss or Transfusion: These can temporarily alter red blood cell counts, skewing A1C results.

If you suspect your A1C result is inaccurate, consult your healthcare provider. They may recommend alternative tests, such as fasting blood glucose or oral glucose tolerance tests, to confirm your diagnosis or monitor your diabetes management.

Last updated: 1/16/2025