The proposed terminology 'A(1c)-derived average glucose' is inherently imprecise and should not be adopted
- PMID: 18449525
- DOI: 10.1007/s00125-008-1027-7
The proposed terminology 'A(1c)-derived average glucose' is inherently imprecise and should not be adopted
Abstract
The proposed use of a more precise standard for glycated (A(1c)) and non-glycated haemoglobin would lead to an A(1c) value, when expressed as a percentage, that is lower than that currently in use. One approach advocated to address the potential confusion that would ensue is to replace 'HbA(1c)' with a new term, 'A(1c)-derived average glucose.' We review evidence from several sources suggesting that A(1c) is, in fact, inherently imprecise as a measure of average glucose, so that the proposed terminology should not be adopted.
Comment in
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The proposed terminology 'A1c-derived average glucose' is inherently imprecise and should not be adopted. Reply to Bloomgarden ZT, Inzucchi SE, Karnieli E, et al.Diabetologia. 2009 Mar;52(3):547-9. doi: 10.1007/s00125-008-1234-2. Epub 2008 Dec 9. Diabetologia. 2009. PMID: 19066843 No abstract available.
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