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The problem with using HbA1C as the only indicator of diabetes control



Hemoglobin A1c is a widely used monitoring tool for blood glucose control. It is clinically beneficial and not prone to acute fluctuations in glucose variability. The DCCT study from the 1970s has shown how important it is to predict the consequences of diabetes and the risk of complications in people with diabetes. It is clear that HbA1c can be a very good indicator of control. I do not think anyone can discuss it. The problem is when it is used as the only indicator of control. How many of your clinicians rely solely on your HbA1c?

HbA1c is not the "big picture". In simple terms, HbA1c is an indicator of how much glucose has bound to hemoglobin or red blood cells throughout its lifetime (three) months). It can not say anything about glucose variability, quality of life or time in the area (the new gold standard, in my opinion).

However, since HbA1c is so heavily weighted, it is important to know when it is not accurate.

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Conditions that shorten the lifespan of red blood cells, such as pregnancy or splenomegaly (splenomegaly), may cause false low HBA1c levels to occur). Chronic blood loss, vitamin E intake and vitamin C intake can cause the same.

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to ask questions. Both you and your diabetes are more than just an A1c. Please make sure that you are treated like this!

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