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Regarding accuracy, it depends. You need to understand the limitations and when the sensors are most accurate.
Many of us with Type 1 diabetes who understand and accommodate these limitations are happy to use it to calculate insulin doses.
Regarding Hba1c, putting the accuracy of individual readings aside, Libre calculates Hba1c differently so the numbers will be different even if Libre was 100% accurate. But it is a good indication of trends.