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What do hypochromia and anisocytosis mean?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am diabetic, and my latest report showed HbA1C as 11, it says hypochromia and anisocytosis of red blood cells. What does it mean?
Answered by Dr. Goswami Parth Rajendragiri

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

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Hi,

Welcome to icliniq.com.

An HbA1c of 11 is very high, and it suggests uncontrolled diabetes. I suggest you investigate your urine sugar, blood fasting sugar, serum urea, and creatinine. The treatment for diabetes should be started with oral hypoglycemic drugs like Metformin and Gliclazide.

Lifestyle changes are also needed, like reducing weight and consuming more fruits and green leafy vegetables.

Hypochromia means central RBC (red blood cell) pallor is reduced. For that, check your hemoglobin first with CBC (complete blood count). If hemoglobin is low, then further work needs to be done with serum ferritin and TIBC (total iron binding capacity).

Take care.

Consult a physician for examination and discuss your case.

Medically reviewed by iCliniq medical review team
Published At July 27, 2017
Reviewed At November 27, 2025

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Goswami Parth Rajendragiri
Dr. Goswami Parth Rajendragiri

Pathology

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Goswami Parth Rajendragiri is an experienced General Physician and Pathologist with extensive years of clinical expertise. He specializes in diagnosing and managing a wide range of medical conditions while providing holistic care to patients. As a Pathologist, he is skilled in performing and interpreting laboratory investigations that aid in accurate diagnosis and treatment planning. Dr. Rajendragiri is dedicated to delivering patient-focused care with a strong emphasis on preventive medicine and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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Read answers about:

hypochromialifestyle modificationcomplete blood count (cbc)anisocytosisimmature rbcuncontrolled diabetesmetformingliclazide

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