The Pros and Cons of Diagnosing Diabetes With A1C

In 2008, the American Diabetes Association (ADA), the European Diabetes Research Association, and the International Diabetes Federation held a special committee to discuss ways to diagnose diabetes in non-pregnant patients. Tools (1) After reviewing the existing literature and reviewing the advantages and limitations of previous diagnostic strategies (mainly based on fasting blood glucose assessment) and the considered alternatives (based on A1C measurements), the latter (ie A1C) should be recommended in the event of a disaster. In addition to many clinical situations, including diabetes diagnostic tools should be used even preferentially in the diagnosis of diabetes in non-pregnant adults.

The main conclusion of the International Expert Committee is based on the latest clinical recommendation published by ADA. However, in these guidelines, A1C is shown as an alternative diagnostic tool, but it is not superior to the blood glucose value, so medical staff can decide which examination to use on an individual basis.

The World Health Organization is currently reviewing the recommendations of the International Expert Committee and is seriously addressing issues still controversial. Most of them are subjects of editors and recently published papers. However, in many Western countries, the use of A1C to diagnose diabetes is rapidly becoming realistic.

In the following text, one person (EB) presents important points for supporting A1C (expert), while the other person (JT) presents a challenge A1C (cons) as a major tool of diabetes diagnosis I will explain the main opposition. . The text was written fully tuned, and the last conclusion represented the views of the two authors. Table 1 and 2 summarize.

In the A1C test, you can diagnose pre-diabetes and diabetes. Measure the average blood glucose control over the past 2 to 3 months. Since there is no need to fast, this test is more convenient. 5.7% to 6.4% A1C means you have pre-diabetes and your risk of diabetes is high. Diagnosis was diagnosed when A1C was 6.5% or more. In this examination, the health care provider draws blood two hours before and after drinking a large amount of pre-weighed drinks including glucose. Then your doctor can compare glucose levels in the plasma to see how much your body handles sugar. These levels are mg / dL

In the following text, one person (EB) presents important points for supporting A1C (expert), while the other person (JT) presents a challenge A1C (cons) as a major tool of diabetes diagnosis I will explain the main opposition. . The text was written fully tuned, and the last conclusion represented the views of the two authors. Table 1 and 2 summarize.

Let me explain what is A1C. I follow the definition of Mayo Clinic: A1C test is a general blood test to evaluate type 1 and type 2 diabetes and how long to treat diabetes thereafter. Therefore, according to the Mayo Clinic chart, my blood glucose concentration is about 183-212 mg / dL uncontrollable. Every three months I go to the endocrinologist, I will check my blood test results (for my A1C) and refill insulin and test strip for my blood glucose meter. At the same time, I was checking my blood glucose level and I distributed the basal blood glucose insulin every hour for each hour.

Today, when A1C becomes 6.5% or more, it can diagnose diabetes. However, most diabetic patients were diagnosed with two other tests. Fasting plasma glucose test. It was done after at least 8 hours of ingestion and was not affected by recent meals or oral glucose tolerance. Inspection, the patient drinks standard sugar drink, waits for 2 hours, then checks blood sugar level. Unlike A1C, the results of both tests, such as the household test of a blood glucose meter, are displayed in actual concentration units (mg / dl), not as a percentage. Recently, the way laboratories measure A1C has changed, making the inspection more accurate.