The A1c is a snapshot for the past 2-3 months, the average lifespan of RBCs. The ADA came up with a formula to convert A1c to eAG [estimated daily Average Glucose]. Your 5.5% equates to an eAG of 111 mg/dl, prediabetes. Basically it is saying for each day over the past 2-3 months your glucose averaged 111 mg/dl. The lab has high range of 6.07% which equates to 128 mg/dl, diabetes.
Botulinum toxin therapy. The ideal treatment for spasmodic dysphonia (SD) has not been identified. Currently, the American Academy of Otolaryngology- Head and Neck Surgery endorses the injection of minute quantities of botulinum toxin into laryngeal muscles as the primary treatment modality.
Treatment with metoclopramide can cause tardive dyskinesia, a serious movement disorder that is often irreversible. The risk of developing tardive dyskinesia increases with duration of treatment and total cumulative dose. Metoclopramide therapy should be discontinued in patients who develop signs or symptoms of tardive dyskinesia. There is no known treatment for tardive dyskinesia.