Lg Cwd
Need Help

Submit your question to our team of health care professionals.

Current Question

See what's on the mind of the community right now.

Meet the Team

Learn more about our world-renowned team.

DTeam Archives

Review the entire archive according to the date it was posted.

December 7, 2003

A1c (Glycohemoglobin, HgbA1c), Family Planning

Question from Wheaton, Illinois USA:

I have been having severe menstrual bleeding for about 5 weeks out of the last 2 1/2 months. My blood levels were determined to be lower than normal--mainly my Hemoglobin, RBC Count, Hematocrit. I have always controlled my sugars very well. My last A1c two months ago was 7%, which was 1% higher than I normally keep it, so I increased my insulin intake dramatically and began a very strict diet. We are starting an ART (in vitro) cycle next week, and I wanted to verify that my A1c level was appropriate. To my shock and horror, my A1c was 10%! I have none of the symptoms of hyperglycemia. I never feel well when my sugars are higher than 150 mg/dl [8.3 mmol/l] (over time). I test several times a day and I am NEVER over 150. I know that I have lost a great deal of blood over the past 2 months, and I also know that I am anemic. Could that be causing this very aberrant A1c result? If so, how can I get an accurate result so that I can determine if it is safe to proceed with the IVF cycle? My questions need urgent consideration, so I am discussing this with my doctor, but I want a second opinion, and someone else might benefit from your answer since this is such a bizarre circumstance I am in.


The A1C can be affected by many factors. A low hemoglobin, depending on the method, may be one of these. Given your circumstances, I would repeat the test at another facility and discuss this with your physician. I definitely agree that if your A1C is that high, I would rethink proceeding with IVF.