1. Angus McPhail Angus McPhail Australia says:

    We now have Hemoglobinopathy traits, (Inherited), Hemolytic Anemia, Iron; VitB12: and Folate deficiencies, Heavy Menstruation, and now smoking, ALL confound the Diabetes Diagnostic Test HbA1c giving false Lows and highs, These Variant hemoglobin lifespans  mainly found in our Ethnic populations and Woman in general. See" NIDDK ethnicities and A1c"for explanation on carrier traits in susceptible populations, Note the errors that GPs are making in the URL above
    Solution a Fasting A1c with a Fasting glucose test should be implemented. Any discordance between these, Highlights Red blood cell survival problems th PATH LABS and they should be responsible for Alerting GPs that further tests are required such as Fructosamine

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