One of the questions in the uworld practice test 2 actually touched on this.motivational interviewing: indication
You need to acknowledge and discuss the reason for missing. Some people - young women mostly, intentionally restrict insulin therapy to lose weight. It's called diabulimia. They manage their glucose levels right before the blood draw so that their glucose is normal on the labs, but the HA1c doesn't lie.
I etg htis si a yufflf iqtnesou dna gcdkwnagenoli the p'etsntai seranso ofr simsgin niuisnl stijenncio si eth sdu,ctdile tub I fele ielk iths narwes wtso eht elni a t.bi ouY d'nto awnt to asy tath igsismn ssedo si ko, tub yuo aslo dont' wtna ot be emna ot epntita rehie.t I hgttohu shit awnser )A( wsa gdnconnoi hre gsinims het itonn,secji os I dekicp (.)C In espcrtor,te I ssgeu ceedgnkolaw msean kalt utbo/sufaco het arnicnootvse nd.auor