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As the title says, A1C is incredibly misleading . My A1C was 5.4 on two occasions and recently dropped to 5.3 for no particular reason. Yet I have high fasting glucose from 5.6 to 5.9 mmol which is considered prediabetic . And I do not have anemia, abnormal hemoglobin or any other condition that would falsely decrease A1C. So confused and bizarre . Any doctor would look at my A1C and say I’m fine but my fasting glucose is abnormal .