Glycation in diabetes: is it the same in all patients?

Abstract

Glycation plays a crucial role in the development of chronic vascular complications in diabetes. The total individual glycation is a result of interaction between proglycation and deglycation mechanisms and can be expressed by hemoglobin glycation index (HGI). There is increasing evidence that patients with higher glycation (and higher HGI) suffer from more frequent diabetic complications. In practice, it would therefore be advantageous to identify and treat such patients to stricter glycemic goals.

Keywords: hemoglobin glycation index, glucose management indicator, glycated hemoglobin, continuous glucose monitoring, diabetes mellitus.