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“As part of testing, monitoring hemoglobin A1C can better reflect long-term control in people with diabetes or prediabetes.”
Source: https://www.huffpost.com/entry/slow-down-biological-age_l_654aa443e4b0e63c9dc15057
So, I will start with answer to your first part of the question regarding the fetal hemoglobin versus the number of red blood cells and all these.
The system also helped reduce levels of glycated hemoglobin, or HbA1c, which provides a snapshot of blood sugar levels over time.