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Diabetologia. 2008 Jul;51(7):1111-4. doi: 10.1007/s00125-008-1027-7. Epub 2008 May 1.

The proposed terminology 'A(1c)-derived average glucose' is inherently imprecise and should not be adopted.

Author information

1
Mount Sinai School of Medicine, New York, NY 10028, USA. zbloomgard@aol.com

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.

PMID:
18449525
DOI:
10.1007/s00125-008-1027-7
[Indexed for MEDLINE]

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