HbA1c Testing Can Be Used for Diabetes Diagnosis Evidence-based recommendations approved for laboratory analysis in patients with diabetes
(HealthDay News) -- Diabetes can be diagnosed and managed by measuring blood concentrations of hemoglobin A1c (HbA1c), according to evidence-based guidelines approved by the American Diabetes Association (ADA) and published in the June issue of Diabetes Care.
David B. Sacks, M.B., Ch.B., from the National Institutes of Health in Bethesda, Md., and colleagues compiled evidence-based recommendations for diagnosis and management of diabetes by laboratory analysis. Using a new system, the quality of evidence and the strength of recommendations were graded. After posting the draft on the Internet, the guidelines were modified on the basis of comments received, and they were then reviewed by the joint Evidence-Based Laboratory Medicine Committee of the American Association for Clinical Chemistry and the National Academy of Clinical Biochemistry. Revisions were made by the Professional Practice Committee and approved by the Executive Committee of the ADA before the guidelines were accepted.
The investigators recommended that, apart from the standard practice of measuring venous plasma glucose, diabetes can be diagnosed by demonstrating increased blood concentrations of HbA1c. Glycemic control can be monitored by laboratory analysis of HbA1c and by patient self-measuring of plasma or blood glucose with meters. Noninvasive glucose monitoring, genetic testing, and measurement of autoantibodies, urine albumin, insulin, proinsulin, C-peptide, and other analytes have minimal clinical value at present.
"This guideline focuses on the practical aspects of care in order to assist with decisions related to the use or interpretation of laboratory tests while screening, diagnosing, or monitoring patients with diabetes," the authors write.
Several of the study authors disclosed financial relationships with the pharmaceutical industry.
from my contact at the mnkf
Dad: BIBLE: Basic Instructions Before Leaving Earth me: FAITH: Forwarding all issues to heaven
Leader:Loving Our Kidneys Kidney Failure is the 8th leading cause of death in USA
Those who think they have not time for bodily exercise will sooner or later have to find time for illness.~Edward Stanley
"Seventy years are given to us!Some may even reach eighty. But even the best of these years are filled with pain and trouble;soon they disappear, and we are gone
SparkPeople, SparkCoach, SparkPages, SparkPoints, SparkDiet, SparkAmerica, SparkRecipes, DailySpark, and other marks are trademarks of SparkPeople, Inc. All Rights Reserved.
SPARKPEOPLE is a registered trademark of SparkPeople, Inc. in the United States, European Union, Canada, and Australia. All rights reserved.