What can make A1c falsely high?

Several medications and substances have also been reported to falsely elevate A1c including lead poisoning2, chronic ingestion of alcohol, salicylates, and opioids. Ingestion of vitamin C may increase A1c when measured by electrophoresis, but may decrease levels when measured by chromatography.


What can cause a high A1C besides diabetes?

High A1c levels do not always necessarily mean that you have diabetes. The NIH reports that high A1c causes include blood disorders like anemia, as well as liver disease, kidney failure, and sickle cell disease. If your A1c levels are high, your doctor may perform a blood glucose test to diagnose or rule out diabetes.

Can A1C be misdiagnosed?

A falsely high A1C result can occur in people who are very low in iron; for example, those with iron-deficiency anemia link. Other causes of false A1C results include kidney failure or liver disease.


Can you have a high A1C and not be diabetic?

Yes, you can have a high A1C level and not have diabetes. This is because an A1C test measures the amount of glucose that's attached to hemoglobin. So anything that affects hemoglobin can alter the results. Certain medications, such as steroids, can also raise blood glucose levels in people who don't have diabetes.

What causes a sudden increase in A1C?

A1C levels can fluctuate because of vitamin deficiencies, supplements, stress, lack of sleep, and more. If you've lived with type 2 diabetes for a while, you might be a pro at managing your blood sugar levels.


7 Overlooked Reasons Why Your A1C May Be Inaccurate



Can A1C be temporarily high?

If you have an elevated A1C (above 6.5%) for the first time, it doesn't always mean that you have diabetes. Other factors, such as certain medications (like steroids) or sickness can temporarily increase your blood sugar levels. Anemia and other conditions can cause a falsely high A1C result, as well.

Can anxiety increase A1C?

Acute stress can increase endogenous glucose production and impair glucose utilization; however, data from brief stressful events lasting only a few minutes and occurring a few hours before sampling suggest that this short-term process likely does not affect A1c [17].

Can dehydration cause high A1C?

How water impacts your diabetes. Quite simply, when you don't drink enough water, the glucose in your bloodstream becomes more concentrated. And that leads to higher blood sugar levels. Both mild and severe dehydration can have a notable impact on your diabetes.


What foods to avoid if your A1C is high?

Worst Choices
  • Fried meats.
  • Higher-fat cuts of meat, such as ribs.
  • Pork bacon.
  • Regular cheeses.
  • Poultry with skin.
  • Deep-fried fish.
  • Deep-fried tofu.
  • Beans prepared with lard.


How can I get my A1C down quickly?

7 Ways to Improve Your A1C
  1. Exercise. Physical activity helps your body use insulin more efficiently, so it can better process the glucose in your blood. ...
  2. Eat Right. ...
  3. Take Medications as Prescribed. ...
  4. Manage Your Stress. ...
  5. Stick to a Schedule. ...
  6. Drink in Moderation. ...
  7. Monitor Your Numbers.


How can A1C be high but glucose normal?

If your blood sugar levels were high last week, and you adjusted your diabetes treatment plan so that your blood sugar returned to normal, the A1C result may still be high, because it includes the high blood sugar levels from the previous week. The A1C test measures the percentage of glycated hemoglobin in your blood.


What should I avoid before A1C test?

Exercising the night or morning before a fasting diabetes blood test can interfere with the test results and produce artificially lower blood glucose levels.

Can A1C change drastically?

Is it possible to lower A1C levels overnight? Well, the short answer is no. Unlike your blood sugars, which can go up or down in a matter of minutes, your A1C will take some time to change. Remember what your A1C measures: your average blood sugars over the past three months.

Can inflammation cause A1C to be high?

Inflammation is associated with higher glycated hemoglobin (HbA1c) levels. Whether the relationship is independent of blood glucose concentration remains unclear.


What affects A1C the most?

The lifespan of red blood cells is one of the biggest influences on A1C levels. That's because the A1C test measures the percentage of your red blood cells that have glucose attached to the hemoglobin, a protein in red blood cells. Changes in red blood cells can changeTrusted Source your A1C.

Can pain cause A1C to be high?

Regardless of the cause, however, studies show that chronic pain makes diabetes self-management much more difficult and often leads to higher blood glucose levels. Surveys of people with diabetes report rates of chronic pain anywhere from 20% to over 60% — much higher than rates in the general population.

What drinks lower A1C?

7 Drinks That Keep Blood Sugar Low
  • Water. You can never go wrong with drinking water — it does make up about 60 percent of the human body. ...
  • Unsweetened tea. ...
  • Coffee. ...
  • Plant-based milk. ...
  • Whole-fruit smoothies. ...
  • Flavored carbonated water. ...
  • Any low-sugar beverages.


How can I lower my A1C in 24 hours?

Exercise is one of the best ways to lower blood sugar. A single session of exercise can lower blood sugar for 24 hours or more. Get in the gym consistently, and your A1C level will drop as well.

Do bananas affect A1C?

A banana's effect on blood sugar depends on its ripeness

Green (unripe) bananas contain resistant starch, which doesn't raise blood sugar levels and may improve long-term blood sugar management. Yellow (ripe) bananas contain more sugar, so they may cause a bigger rise in blood sugar.

Does drinking water affect A1C test?

Drinking water before a fasting blood sugar test can actually decrease blood sugar levels, or at least prevent levels from getting too high. Water allows more glucose to be flushed out of the blood. When you're dehydrated, it means your overall blood volume is lower than normal, but your sugars will be the same.


Does drinking water affect A1C?

Lowering blood glucose levels

Water will not raise blood glucose levels, which is why it is so beneficial to drink when people with diabetes have high blood sugar, as it enables more glucose to be flushed out of the blood.

Why is my blood sugar high when I have not eaten anything?

Your body makes extra blood sugar (glucose) overnight in order to avoid periods of low blood sugar (hypoglycemia) while you're sleeping and to give you the energy you need to get out of bed. In people without diabetes, insulin — the hormone that regulates blood sugar — also rises to keep blood sugar stable.

What causes borderline A1C?

Borderline diabetes, also known as prediabetes, is a condition in which blood sugar is higher than normal, but not as high as it is in diabetes. It is the result of insulin resistance, or reduced effect of insulin on certain cells in your body.


Can your A1C change in two weeks?

A large change in mean blood glucose can increase HbA1c levels within 1-2 weeks. Sudden changes in HbA1c may occur because recent changes in blood glucose levels contribute relatively more to the final HbA1c levels than earlier events.

Can your A1C change in 1 month?

As discussed, your A1C, unlike a blood glucose test, measures your average blood sugar over a period of 2 to 3 months. This means, it can take up to 3 months to notice significant changes in your A1C.