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Factors that can raise life insurance rates Uncontrolled A1C Obesity with related conditions Untreated or poorly managed sleep apnea Heart disease or stroke history Kidney issues Tobacco use Multiple recent medication changes Poor follow-up care Factors that can help your underwriting profile Lower A1C over time Sustained weight loss Controlled blood pressure Good physician follow-up No diabetic complications Stable medication history Strong driving record and no tobacco use This is similar to other insurance decisions where the hidden details matter more than the headline issue