Diabetes management: Beyond hemoglobin A1c
نویسندگان
چکیده
منابع مشابه
Metrics Beyond Hemoglobin A1C in Diabetes Management: Time in Range, Hypoglycemia, and Other Parameters
We review clinical instances in which A1C should not be used and reflect on the use of other glucose metrics that can be used, in substitution of or in combination with A1C and SMBG, to tailor an individualized approach that will result in better outcomes and patient empowerment.
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Glycation is the nonenzymatic attachment of a monosaccharide to amino groups of proteins. The reaction has been recognized for many years in the food industry, where it is known as browning (also termed the Maillard reaction) and is responsible for the formation of commonly ingested items, such as toast. In patients with diabetes, glucose accumulation results in enhanced glycation of many prote...
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Hemoglobin A1c (Hb A1c) 1 is a mainstay of diabetes diagnosis and management that allows clinicians to estimate the recent mean blood glucose concentration of a patient. Glycation of hemoglobin is an irreversible, nonenzymatic process that depends on the glucose concentration in red blood cells (RBCs), and Hb A1c represents the integrated glucose concentration in RBCs over their life span. RBC ...
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BACKGROUND Hyperglycemia has been detected in many critically ill patients in the department of emergency medicine. But its mechanism and prognosis have not been well elucidated. In this study, we measured the serum level of glycated hemoglobin A1C (HbA1c) in critically ill patients to evaluate the effects of hyperglycemia on the prognosis of the patients. METHODS A total of 826 critically il...
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1. Lundberg GD. When to panic over abnormal values. Med Lab Obs 1970;4:47–54. 2. Lundberg GD. Critical (panic) value notification: an established laboratory policy (parameter). JAMA 1990;263:709. 3. Hortin GL, Csako G. Critical values, panic values, or alert values? J Clin Path 1998;109: 496 –7. 4. Piva E, Plebani M. From “panic” to “critical” values: which path toward harmonization? Clin Chem ...
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ژورنال
عنوان ژورنال: Cleveland Clinic Journal of Medicine
سال: 2019
ISSN: 0891-1150,1939-2869
DOI: 10.3949/ccjm.86a.18031