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No. The A1C test measures the amount of glucose bound to hemoglobin in the red blood cells. This binding process is related to the concentration of glucose present and the time of exposure. New cells are constantly created to replace old cells that are removed. Thus, the test meaures an average value of the glucose exposure over the life of the red blood cell (about 4 months). So, a one-day change, due to fasting for example, represents only a small change (one day in 120 days). For convenience, the doctor may have A1C run on blood drawn at the same time for other tests that DO require fasting. But, the nature of A1C should not require it.

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Related Questions

Do you have to fast for a hemoglobin test?

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