Iron deficiency anaemia has a straight forward correlation with HbA1c levels and the relationship is inverse between them. This signifies that as the level of haemoglobin drops with increasing severity of iron deficiency in anaemic subjects, at the same time HbA1c levels increase correspondingly.Iron deficiency anaemia being extremely common in Indian settings should always be ruled out when high HbA1c levels are detected and should be corrected on priority to achieve true levels of HbA1c.

Reference
Annals of Clinical and Laboratory Research

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