Why Can an A1C Result Differ from a Fasting Glucose Test?

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I’ve seen cases where a fasting glucose result looks normal, but the A1C is higher than expected—or the other way around. Since A1C and fasting glucose are both used to assess blood sugar, what different time periods or conditions does each test reflect?

How should someone discuss a mismatch with their clinician, especially if the tests were taken at different times or there are other health factors involved?

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