Hello, you haven t mentioned you hematocrit or the rest of the complete blood count results. It s hard to give specific advice without knowing the facts. Also please note that the A1c result is credible only when the hematocrit is within normal range. Your eGFR corresponds to stage 3 chronic kidney disease. At this stage, it s likely that no symptom is evident. 5% of stage 3 patients do have anemia, although it s far more common in stages 4 or 5. Your MCH is not helping either, without the rest of the results. If you do have a high MCH then a macrocytic anemia is possible. Since you were using metformin, you should probably check your vitamin B12, which is a common cause of anemia in patients with diabetes. I could be more accurate if I had the results. If you re on a healthy diet then you don t need to do anything about it. If not, then the following general advice would be appropriate. Red meat: once in 7-10 days. Poultry: 3 times/week. Vegetables, salads: every day. Fish: at least 2/week. Don t forget legumes. Avoid sweats and fatty food. If you drink, avoid drinking more than a glass of wine (or two) per day. I can t speak about your prognosis because you haven t shared the details about your medical history except diabetes. If you d like more specific information, please ask again but provide the details. Useful details would include: - complete medical history, including diseases and treatments - more information about your kidney problem - information about your diet - test results (complete blood count, vitamin B12, folic acid, ferritin levels) I hope I ve helped! Kind Regards!