Knowledge (XXG)

Glycated hemoglobin

Source 📝

1401:
behavior than a fasting blood sugar value. However, fasting blood sugar tests are crucial in making treatment decisions. The American Diabetes Association guidelines are similar to others in advising that the glycated hemoglobin test be performed at least twice a year in patients with diabetes who are meeting treatment goals (and who have stable glycemic control) and quarterly in patients with diabetes whose therapy has changed or who are not meeting glycemic goals.
366: 148:. The test is considered a three-month average because the average lifespan of a red blood cell is three to four months. Normal levels of glucose produce a normal amount of glycated hemoglobin. As the average amount of plasma glucose increases, the fraction of glycated hemoglobin increases in a predictable way. In diabetes, higher amounts of glycated hemoglobin, indicating higher of blood glucose levels, have been associated with 3759: 1472:. The thiobarbituric acid method (a chemical method specific for the detection of glycation) shows that patients with kidney failure have values for glycated hemoglobin similar to those observed in normal subjects, suggesting that the high values in these patients are a result of binding of something other than glucose to hemoglobin. 1400:
Glycated hemoglobin testing is recommended for both checking the blood sugar control in people who might be prediabetic and monitoring blood sugar control in patients with more elevated levels, termed diabetes mellitus. For a single blood sample, it provides far more revealing information on glycemic
1016:
during the preceding two months, due to an abnormal synchronization of the age of the RBCs, resulting in an older than normal average blood cell life (resulting in an overestimate of actual average blood glucose levels). Conversely, higher-than-expected levels can be seen in people with a longer red
3701:
Diabetes Control and Complications Trial Research Group; Nathan DM, Genuth S, Lachin J, Cleary P, Crofford O, Davis M, Rand L, Siebert C. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl J Med.
851:
suggested that a target below 53 mmol/mol (7.0 DCCT %) for older adults with type 2 diabetes may be excessive: Below 53 mmol/mol, the health benefits of reduced A1c become smaller, and the intensive glycemic control required to reach this level leads to an increased rate of dangerous
3010:
Sacks DB, Arnold M, Bakris GL, Bruns DE, Horvath AR, Lernmark Å, Metzger BE, Nathan DM, Sue Kirkman M. Executive Summary: Guidelines and Recommendations for Laboratory Analysis in the Diagnosis and Management of Diabetes Mellitus. Clin Chem. 2023 Aug 2;69(8):777-784. doi: 10.1093/clinchem/hvad079.
1530:
Most clinical studies recommend the use of HbA1c assays that are traceable to the DCCT assay. The National Glycohemoglobin Standardization Program (NGSP) and IFCC have improved assay standardization. For initial diagnosis of diabetes, only HbA1c methods that are NGSP-certified should be used, not
978:
The 2022 ADA guidelines reaffirmed the recommendation that HbA1c should be maintained below 7.0% for most patients. Higher target values are appropriate for children and adolescents, patients with extensive co-morbid illness and those with a history of severe hypoglycemia. More stringent targets
1404:
Glycated hemoglobin measurement is not appropriate where a change in diet or treatment has been made within six weeks. Likewise, the test assumes a normal red blood cell aging process and mix of hemoglobin subtypes (predominantly HbA in normal adults). Hence, people with recent blood loss,
416:
A1c is a weighted average of blood glucose levels during the life of the red blood cells (117 days for men and 106 days in women). Therefore, glucose levels on days nearer to the test contribute substantially more to the level of A1c than the levels in days further from the test.
1007:
is recommended; these methods reflect glycemic control over the preceding 2-3 weeks. Blood donation will result in rapid replacement of lost RBCs with newly formed red blood cells. Since these new RBCs will have only existed for a short period of time, their presence will lead
3207:
Bhattacharjee R, Thukral A, Chakraborty PP, Roy A, Goswami S, Ghosh S, Mukhopadhyay P, Mukhopadhyay S, Chowdhury S. Effects of thyroid status on glycated hemoglobin. Indian J Endocrinol Metab. 2017 Jan-Feb;21(1):26-30. doi: 10.4103/2230-8210.196017. PMID: 28217494; PMCID:
962:
is higher above 64 mmol/mol (8.0 DCCT%) HbA1c as well as below 42 mmol/mol (6.0 DCCT %) in diabetic patients, and above 42 mmol/mol (6.0 DCCT %) as well as below 31 mmol/mol (5.0 DCCT %) in non-diabetic persons, indicating the risks of
1037:
for diabetics type 1 in Sweden in 2014 was 63 mmol/mol (7.9 DCCT%) and for type 2, 61 mmol/mol (7.7 DCCT%). HbA1c levels show a small, but statistically significant, progressive uptick with age; the clinical importance of this increase is unclear.
1444:
allow people with diabetes to determine their blood glucose levels on a continuous basis, testing every few minutes. Continuous use of blood glucose monitors is becoming more common, and the devices are covered by many health insurance plans, including
1020:
Results can be unreliable in many circumstances, for example after blood loss, after surgery, blood transfusions, anemia, or high erythrocyte turnover; in the presence of chronic renal or liver disease; after administration of high-dose vitamin C; or
628: 893:
below 42 mmol/mol (6.0 DCCT %) using increased amounts of medication would reduce the rate of cardiovascular events found higher mortality with this intensive therapy, so much so that the trial was terminated 17 months early.
122:) bond with hemoglobin when present in the bloodstream. However, glucose is only 21% as likely to do so as galactose and 13% as likely to do so as fructose, which may explain why glucose is used as the primary metabolic fuel in humans. 1490:
All the major institutions such as the International Expert Committee Report, drawn from the International Diabetes Federation, the European Association for the Study of Diabetes, and the American Diabetes Association, suggest the
2686:
Currie, Craig J; Peters, John R; Tynan, Aodán; Evans, Marc; Heine, Robert J; Bracco, Oswaldo L; Zagar, Tony; Poole, Chris D (2010). "Survival as a function of HbA1c in people with type 2 diabetes: a retrospective cohort study".
484: 408:
Once a hemoglobin molecule is glycated, it remains that way. A buildup of glycated hemoglobin within the red cell, therefore, reflects the average level of glucose to which the cell has been exposed during its
3597:
Freitas PAC, Ehlert LR, Camargo JL. Glycated albumin: a potential biomarker in diabetes. Arch Endocrinol Metab. 2017 May-Jun;61(3):296-304. doi: 10.1590/2359-3997000000272. PMID: 28699985; PMCID: PMC10118799.
2991:
American Diabetes Association Professional Practice Committee. 6. Glycemic Targets: Standards of Medical Care in Diabetes-2022. Diabetes Care. 2022 Jan 1;45(Suppl 1):S83-S96. doi: 10.2337/dc22-S006. PMID:
3127: 2435:"Statistical methods for monitoring the relationship between the IFCC reference measurement procedure for hemoglobin A1c and the designated comparison methods in the United States, Japan, and Sweden" 2567: 2524: 3832: 190:. The first fraction to separate, probably considered to be pure hemoglobin A, was designated HbA0, and the following fractions were designated HbA1a, HbA1b, and HbA1c, in their order of 129:
or other hormone diseases in high concentration (HbA1c >6.4%). A1c is of particular interest because it is easy to detect. The process by which sugars attach to hemoglobin is called
3302: 1499:
testing cannot be done, the fasting and glucose-tolerance tests be done. Screening for diabetes during pregnancy continues to require fasting and glucose-tolerance measurements for
2158:
Yaylayan, Varoujan A.; Huyghues-Despointes, Alexis (1994). "Chemistry of Amadori Rearrangement Products: Analysis, Synthesis, Kinetics, Reactions, and Spectroscopic Properties".
866:, Action to Control Cardiovascular Risk in Diabetes (ACCORD), Advance and Veterans Affairs Diabetes Trials (VADT) estimated that the risks of the main complications of diabetes ( 420:
This is also supported by data from clinical practice showing that HbA1c levels improved significantly after 20 days from start or intensification of glucose-lowering treatment.
2730: 2938:"Glycated haemoglobin A1c as a risk factor of cardiovascular outcomes and all-cause mortality in diabetic and non-diabetic populations: a systematic review and meta-analysis" 496: 5082: 5322: 1420:
Due to glycated hemoglobin's variability (as shown in the table above), additional measures should be checked in patients at or near recommended goals. People with HbA
183:
as it was unclear which process was involved until further research was performed. The terms are still sometimes used interchangeably in English-language literature.
2571: 3825: 472: 901:
level. Because patients are responsible for averting or responding to their own hypoglycemic episodes, their input and the doctors' assessments of the patients'
3135: 378:
Glycation of proteins is a frequent occurrence, but in the case of hemoglobin, a nonenzymatic condensation reaction occurs between glucose and the N-end of the
1819: 992: 816:
Laboratory results may differ depending on the analytical technique, the age of the subject, and biological variation among individuals. Higher levels of HbA
1449:
in the United States. The supplies tend to be expensive, since the sensors must be changed at least every 2 weeks. Another useful test in determining if HbA
487:(IFCC) units. IFCC reporting was introduced in Europe except for the UK in 2003; the UK carried out dual reporting from 1 June 2009 until 1 October 2011. 1522:. Trials with multiple strains of probiotics had statistically significant reductions in glycated hemoglobin, whereas trials with single strains did not. 3818: 1699: 1547:
HbA1c testing has not been found useful in the monitoring during the treatment of cats and dogs with diabetes, and is not generally used; monitoring of
3802: 2057:
Koenig RJ, Peterson CM, Jones RL, Saudek C, Lehrman M, Cerami A (1976). "Correlation of glucose regulation and hemoglobin AIc in diabetes mellitus".
460: 3218:
Saaddine, Jinan B.; Fagot-Campagna, Anne; Rolka, Deborah; Narayan, K. M. Venkat; Geiss, Linda; Eberhardt, Mark; Flegal, Katherine M. (2002-08-01).
3574: 3362: 405:. The longer hyperglycemia occurs in blood, the more glucose binds to hemoglobin in the red blood cells and the higher the glycated hemoglobin. 4401: 459:
testing laboratories are certified by the National Glycohemoglobin Standardization Program to standardize them against the results of the 1993
429: 3310: 3068: 5199: 5144: 2474:
Manley S, John WG, Marshall S (July 2004). "Introduction of IFCC reference method for calibration of HbA: implications for clinical care".
2022:
Bunn HF, Haney DN, Gabbay KH, Gallop PM (1975). "Further identification of the nature and linkage of the carbohydrate in haemoglobin A1c".
859:
more than 48 mmol/mol (6.5 DCCT %) had an increased mortality rate, but a later international study contradicted these findings.
2755: 125:
The excess formation of the sugar-hemoglobin linkage indicates the presence of excessive sugar in the bloodstream, and is an indicator of
1846: 952:(slowed emptying of the stomach). Poor blood glucose control also increases the risk of short-term complications of surgery such as poor 5640: 4130: 2329:"A longitudinal study examining adherence to guidelines in diabetes care according to different definitions of adequacy and timeliness" 5114: 3106: 2734: 5594: 5244: 476: 3661:"Glucose- and glycaemic factor-lowering effects of probiotics on diabetes: a meta-analysis of randomised placebo-controlled trials" 2388: 897:
Practitioners must consider patients' health, their risk of hypoglycemia, and their specific health risks when setting a target HbA
3220:"Distribution of HbA(1c) levels for children and young adults in the U.S.: Third National Health and Nutrition Examination Survey" 227:
The use of hemoglobin A1c for monitoring the degree of control of glucose metabolism in diabetic patients was proposed in 1976 by
5470: 1487:
test may be used in these circumstances and it also reflects an average of blood glucose levels over the preceding 2 to 3 weeks.
445: 3391: 1602: 390:, R=beta chain, CHR'=glucose-derived), which is itself converted to 1-deoxyfructose. This second conversion is an example of an 5666: 3512: 3278: 328: 1904: 1791: 1461:. GlycoMark reflects only the times that the person experiences hyperglycemia above 180 mg/dL over a two-week period. 5360: 4331: 4087: 2776: 1859:
Hospitals should ensure that the correct term for HbA1c – glycated haemoglobin – is now to be found in laboratory manuals.
1313: 840: 1050:
values given in DCCT percentage (%) and eAG (estimated average glucose) measurements is given by the following equation:
5400: 5327: 3665: 3157:
Kim, M. K.; Kwon, H. S.; Baek, K. H.; Lee, J. H.; Park, W. C.; Sohn, H. S.; Lee, K. W.; Song, K. H. (7 September 2010).
1877: 413:. Measuring glycated hemoglobin assesses the effectiveness of therapy by monitoring long-term serum glucose regulation. 1716: 1440:
is more reflective of an elevated blood glucose that does not vary much throughout the day. Devices such as continuous
5312: 5237: 5232: 4023: 3985: 1476: 1469: 1495:
level of 48 mmol/mol (6.5 DCCT %) as a diagnostic level. The Committee Report further states that, when HbA
5544: 5373: 5180: 4394: 4364: 1952:
Bookchin RM, Gallop PM (1968). "Structure of haemoglobin A1c: nature of the N-terminal beta chain blocking group".
1787:
Use of Glycated Haemoglobin (HbA1C) in the Diagnosis of Diabetes Mellitus: Abbreviated Report of a WHO Consultation
3915: 2517: 2416: 1790:. Geneva: World Health Organization. 2011. p. 2, Glycated haemoglobin (HbA1c) for the diagnosis of diabetes. 1615:
Bunn HF, Higgins PJ (July 1981). "Reaction of monosaccharides with proteins: possible evolutionary significance".
855:
A retrospective study of 47,970 type 2 diabetes patients, aged 50 years and older, found that patients with an HbA
463:(DCCT). An additional percentage scale, Mono S has previously been in use by Sweden and KO500 is in use in Japan. 5447: 5395: 5292: 4192: 3159:"Effects of Thyroid Hormone on A1C and Glycated Albumin Levels in Nondiabetic Subjects With Overt Hypothyroidism" 1987:
Rahbar S, Blumenfeld O, Ranney HM (1969). "Studies of an unusual hemoglobin in patients with diabetes mellitus".
1658:
McPherson JD, Shilton BH, Walton DJ (March 1988). "Role of fructose in glycation and cross-linking of proteins".
1503:
at 24 to 28 weeks gestation, although glycated hemoglobin may be used for screening at the first prenatal visit.
441: 3785:- National Institutes of Health (NIH): National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) 5630: 5368: 5175: 4469: 4065: 3021:
Kilpatrick ES, Bloomgarden ZT, Zimmet PZ (2009). "Is haemoglobin A1c a step forward for diagnosing diabetes?".
1519: 1446: 1441: 999:, or any other condition causing premature red blood cell death. For these patients, alternate assessment with 5522: 5487: 4547: 4528: 4491: 4060: 3928: 3893: 3788: 2556: 2306: 348: 248: 3714:"Glycosylated hemoglobin measurement in dogs and cats: implications for its utility in diabetic monitoring" 2433:
Geistanger A, Arends S, Berding C, Hoshino T, Jeppsson JO, Little R, Siebelder C, Weykamp C (August 2008).
5435: 5317: 5287: 5277: 5192: 5163: 5107: 4326: 4180: 4018: 3980: 1873:"What is hemoglobin A1c? An analysis of glycated hemoglobins by electrospray ionization mass spectrometry" 972: 929: 332: 206:
Hemoglobin A1c was first separated from other forms of hemoglobin by Huisman and Meyering in 1958 using a
149: 2847:
Shubrook JH, Shubrook J (2010). "Risks and benefits of attaining HbA(1c) goals: Examining the evidence".
979:(<6.0%) are preferred for pregnant patients if this can be achieved without significant hypoglycemia. 133:
and the reference system is based on HbA1c, defined as beta-N-1-deoxy fructosyl hemoglobin as component.
94:(Hb) that is chemically linked to a sugar. Several types of glycated hemoglobin measures exist, of which 5465: 5460: 5254: 4387: 4120: 4097: 4082: 4013: 1532: 1417:
and other conditions, as well as those who have donated blood recently, are not suitable for this test.
879: 391: 301:, and these hemoglobin clumps (multimers) promote cell damage and the release of Fe-hemoglobin into the 71: 3563: 1033:(that found in healthy young persons), is about 30–33 mmol/mol (4.9–5.2 DCCT %). The mean HbA 623:{\displaystyle \mathrm {IFCC\ HBA1c} \,{\Big (}{\frac {\text{mmol}}{\text{mol}}}{\Big )}=\times 10.929} 3324: 1925:
Huisman TH, Martis EA, Dozy A (1958). "Chromatography of hemoglobin types on carboxymethylcellulose".
5681: 5661: 5625: 5584: 5517: 5507: 5502: 5390: 5157: 4672: 4658: 4644: 4630: 4318: 4175: 4163: 4140: 3995: 3863: 2340: 1624: 1500: 1464:
Concentrations of hemoglobin A1 (HbA1) are increased, both in diabetic patients and in patients with
1424:
values at 64 mmol/mol or less should be provided additional testing to determine whether the HbA
937: 871: 867: 362:
from them. Loose heme can cause oxidation of endothelial and LDL proteins, which results in plaques.
302: 5635: 5620: 5549: 5534: 5529: 5512: 5497: 5482: 5425: 5420: 5385: 5352: 4908: 4832: 4474: 4156: 4151: 3888: 1454: 1414: 1059: 996: 875: 240: 2756:"The largest ever study of diabetes shows intensive glucose control reduces serious complications" 5599: 5187: 4922: 4604: 3873: 3609:"International expert committee report on the role of the A1C assay in the diagnosis of diabetes" 3046: 2712: 2668: 2643:
Lehman R, Krumholz HM (2009). "Tight control of blood glucose in long standing type 2 diabetes".
2499: 1767: 187: 3513:"Glycated Hemoglobin in Uremic Patients as Measured by Affinity and Ion-Exchange Chromatography" 2518:"Standardisation of the reference method for the measurement of HbA1c to improve diabetes care" 324:
accumulation in blood vessel surfaces, ultimately leading to harmful plaques in these vessels.
5671: 5405: 5342: 5272: 5227: 5100: 4903: 4798: 4258: 4237: 3905: 3900: 3768: 3735: 3684: 3638: 3531: 3493: 3475: 3436: 3354: 3249: 3241: 3190: 3098: 3038: 2969: 2915: 2897: 2856: 2829: 2811: 2770: 2704: 2660: 2625: 2491: 2456: 2368: 2280: 2229: 2175: 2140: 2122: 2074: 2039: 2004: 1969: 1934: 1896: 1872: 1838: 1814: 1759: 1708: 1675: 1640: 1560: 821: 137: 835:
The International Diabetes Federation and the American College of Endocrinology recommend HbA
224:
The reactions leading to its formation were characterized by Bunn and his coworkers in 1975.
5676: 5380: 4808: 4767: 4697: 4379: 4348: 4005: 3725: 3674: 3628: 3620: 3523: 3483: 3467: 3426: 3344: 3336: 3231: 3180: 3170: 3088: 3080: 3030: 2959: 2951: 2905: 2887: 2819: 2803: 2696: 2652: 2615: 2607: 2483: 2446: 2358: 2348: 2270: 2260: 2219: 2209: 2167: 2130: 2112: 2066: 2031: 1996: 1961: 1886: 1828: 1751: 1667: 1632: 1410: 1406: 913: 847:
be below 53 mmol/mol (7.0 DCCT %) for most patients. Results from large trials in
145: 5579: 5249: 5150: 5137: 5062: 4917: 4341: 4336: 2420: 2392: 1320:≥ 48 mmol/mol (≥6.5 DCCT %) as another criterion for the diagnosis of diabetes. 1030: 294: 263: 1012:
to underestimate the actual average levels. There may also be distortions resulting from
369:
Glycation pathway via Amadori rearrangement (in HbA1c, R is typically N-terminal valine).
58: 3782: 3764: 2385: 2344: 1628: 1579: 365: 214:
by Bookchin and Gallop in 1968. Its increase in diabetes was first described in 1969 by
5539: 5412: 4964: 4959: 4249: 4105: 3878: 3868: 3730: 3713: 3633: 3608: 3488: 3455: 3349: 3185: 3158: 3093: 2964: 2937: 2910: 2875: 2824: 2791: 2620: 2595: 2363: 2328: 2275: 2248: 2224: 2197: 2135: 2101:"Glycated hemoglobin and its spinoffs: Cardiovascular disease markers or risk factors?" 2100: 1465: 1026: 1013: 959: 410: 402: 228: 207: 179:
hemoglobin to reflect the correct (non-enzymatic) process. Early literature often used
103: 17: 3796: 2700: 140:
and is used as a standard diagnostic test for evaluating the risk of complications of
5655: 5556: 5477: 5455: 5069: 5028: 4943: 4750: 4532: 4515: 4454: 4292: 4271: 4185: 4110: 4043: 3383: 2487: 2035: 2000: 1965: 1565: 1539:
devices for HbA1c testing, specifically large standard deviations and negative bias.
1536: 1511: 1429: 1022: 964: 953: 949: 925: 449: 336: 309:) of arteries and veins. This results in increased permeability of interior surface ( 306: 271: 244: 215: 176: 3810: 3050: 2716: 2672: 2503: 1771: 5561: 5302: 5297: 5057: 4998: 4874: 4860: 4846: 4736: 4711: 4297: 4266: 4169: 4070: 3858: 3539: 1548: 1484: 1480: 1433: 1000: 968: 917: 344: 340: 259: 211: 3267: 889:
However, a trial by ACCORD designed specifically to determine whether reducing HbA
452:(e.g., doctor's office) devices use immunoassay boronate affinity chromatography. 195: 44: 2451: 2434: 2353: 1891: 1871:
Peterson KP, Pavlovich JG, Goldstein D, Little R, England J, Peterson CM (1998).
1695:"Determination of Normal HbA1C Levels in Non-Diabetic Patients with Hemoglobin E" 824:. While diabetic patient treatment goals vary, many include a target range of HbA 5604: 5332: 5170: 5005: 4418: 4115: 4075: 4055: 3990: 3952: 3943: 3938: 3933: 3850: 3527: 3306: 2955: 2563: 2528: 2070: 1785: 1575: 1570: 433: 383: 310: 194:. Improved separation techniques have subsequently led to the isolation of more 161: 153: 38: 5264: 5052: 5010: 4913: 4436: 4035: 3975: 3962: 3883: 3842: 3679: 3660: 3236: 3219: 2171: 1755: 1742:
Miedema K (2005). "Standardization of HbA1c and Optimal Range of Monitoring".
941: 379: 321: 298: 290: 157: 91: 3479: 3471: 3245: 2901: 2815: 2126: 1636: 912:) increase the risk of long-term vascular complications of diabetes, such as 5307: 4993: 4207: 4202: 4197: 4125: 3923: 3702:
1993 Sep 30;329(14):977-86. doi: 10.1056/NEJM199309303291401. PMID: 8366922.
2265: 1833: 1694: 1515: 1458: 991:
can be seen in people with shortened red blood cell lifespans, such as with
933: 902: 437: 428:
Several techniques are used to measure hemoglobin A1c. Laboratories may use
252: 172: 130: 111: 52: 3739: 3688: 3642: 3497: 3440: 3358: 3253: 3194: 3102: 3042: 2973: 2919: 2860: 2833: 2708: 2664: 2629: 2495: 2460: 2413: 2372: 2284: 2233: 2144: 1938: 1842: 1763: 1712: 1644: 3535: 2892: 2179: 2117: 2043: 2008: 1973: 1900: 1679: 5337: 5123: 4287: 4219: 3970: 2942: 2214: 2078: 1518:
to cause a statistically significant reduction in glycated hemoglobin in
1453:
values are due to wide variations of blood glucose throughout the day is
945: 317: 314: 267: 141: 126: 115: 1671: 4410: 4227: 3511:
Dufresne, L.; Joly, J. G.; Lepage, R.; Lessard, F.; Bannon, P. (1984).
2532: 1004: 398: 339:-induced endothelium-dependent relaxation, possibly through binding to 275: 191: 107: 3624: 3431: 3414: 3340: 3175: 3084: 3034: 2807: 2611: 485:
International Federation of Clinical Chemistry and Laboratory Medicine
186:
The naming of HbA1c derives from hemoglobin type A being separated on
5220: 5217: 5214: 5211: 5208: 5205: 4427: 4232: 3564:"Undetectable Glycosylated Hemoglobin in Autoimmune Hemolytic Anemia" 3067:
Nathan DM, Kuenen J, Borg R, Zheng H, Schoenfeld D, Heine RJ (2008).
2656: 1728: 921: 286: 280: 119: 3805:(pdf), American Diabetes Association Professional Practice Committee 4479: 863: 820:
are found in people with persistently elevated blood sugar, as in
352: 219: 66: 3325:"Executive summary: Standards of medical care in diabetes – 2010" 3128:"Hypothyroidism Falsely Raises HbA1c and Glycated Albumin Levels" 3069:"Translating the A1C assay into estimated average glucose values" 2596:"Executive Summary: Standards of medical care in diabetes – 2009" 882:) decreased by about 3% for every 1 mmol/mol decrease in HbA 136:
HbA1c is measured primarily to determine the three-month average
5589: 4588: 4576: 4571: 4503: 4414: 3799:, American Diabetes Association Professional Practice Committee 1535:
devices. Analytical performance has been a problem with earlier
359: 5096: 4383: 3814: 2198:"Glycated Hemoglobin and Methods for Its Point of Care Testing" 490:
Conversion between DCCT and IFCC is by the following equation:
4818: 4559: 2327:
Sidorenkov G, Haaijer-Ruskamp FM, de Zeeuw D, Denig P (2011).
2298: 828:
values. A diabetic person with good glucose control has an HbA
2758:. Advance-trial.com. Archived from the original on 2013-01-16 2568:
Association for Clinical Biochemistry and Laboratory Medicine
2525:
Association for Clinical Biochemistry and Laboratory Medicine
1744:
Scandinavian Journal of Clinical and Laboratory Investigation
3456:"Hemoglobinopathies and Hemoglobin A1c in Diabetes Mellitus" 2386:
Developing Point of care HbA1c tests for Diabetes monitoring
1479:, concentrations of HbA1 is undetectable. Administration of 289:
hemoglobin (Fe-Hb). Fe is unstable and reacts with specific
5092: 3268:"Nationella Diabetesregistret Årsrapport 2014 års resultat" 2936:
Cavero-Redondo I, Peleteiro B, Martínez-Vizcaíno V (2017).
839:
values below 48 mmol/mol (6.5 DCCT %), while the
2876:"Effects of Intensive Glucose Lowering in Type 2 Diabetes" 2423:
By the Swedish Diabetes Association. Retrieved 2023-02-01.
239:
Glycated hemoglobin causes an increase of highly reactive
3275:
Nationella Diabetesregistret Årsrapport 2014 års resultat
2874:
Gerstein HC, Miller ME, Byington RP, et al. (2008).
2395:, Barry Plant, Originally Published IVDT July/August 2008 908:
Persistent elevations in blood sugar (and, therefore, HbA
2987: 2985: 2983: 2733:. Diabetes Self-Management. 2008-03-07. Archived from 832:
level that is close to or within the reference range.
358:
This overall degradation of blood cells also releases
313:) of blood vessels and production of pro-inflammatory 1409:, or genetic differences in the hemoglobin molecule ( 499: 343:(NO), preventing its normal function. NO is a potent 258:
Another way glycated hemoglobin causes damage is via
243:
inside blood cells, altering the properties of their
3384:"Diagnosing Diabetes and Learning About Prediabetes" 2557:"HbA1c Standardisation For Laboratory Professionals" 1813:
Oliwia Witczak, Trine B. Haugen (25 November 2014).
1483:
will allow the HbA1 to be detected. The alternative
1428:
values are due to averaging out high blood glucose (
5613: 5570: 5446: 5351: 5263: 5130: 5045: 5019: 4984: 4977: 4952: 4931: 4896: 4789: 4729: 4690: 4623: 4612: 4603: 4526: 4451: 4444: 4435: 4426: 4357: 4317: 4310: 4280: 4257: 4248: 4218: 4139: 4096: 4034: 4004: 3961: 3914: 3849: 2849:
The Journal of the American Osteopathic Association
1316:
Standards of Medical Care in Diabetes added the HbA
1017:blood cell lifespan, such as with iron deficiency. 65: 51: 37: 32: 971:, respectively. Similar risk results are seen for 622: 1075: 552: 535: 5323:Metabolic Score for Insulin Resistance (METS-IR) 1029:can artificially raise the A1c. In general, the 347:and also inhibits formation of plaque-promoting 270:) formation. Free-radical build-up promotes the 3654: 3652: 3062: 3060: 2931: 2929: 2191: 2189: 27:Form of hemoglobin chemically linked to a sugar 2253:Indian Journal of Endocrinology and Metabolism 2160:Critical Reviews in Food Science and Nutrition 473:European Association for the Study of Diabetes 5108: 4395: 3826: 3277:(in Swedish). Nationella Diabetes Registret. 1601:Elizabeth Weiser Caswell Diabetes Institute. 1042:Mapping from A1c to estimated average glucose 944:(loss of sensation, especially in the feet), 8: 1820:Journal of the Norwegian Medical Association 993:glucose-6-phosphate dehydrogenase deficiency 3789:National Diabetes Information Clearinghouse 3607:The International Expert Committee (2009). 2731:"Advance Study Contradicts ACCORD Findings" 1700:Annals of Clinical & Laboratory Science 5115: 5101: 5093: 4981: 4620: 4609: 4448: 4441: 4432: 4402: 4388: 4380: 4314: 4254: 3833: 3819: 3811: 3460:Journal of Diabetes Science and Technology 1324:Diagnostic standard for HbA1c in diabetes 983:Factors other than glucose that affect A1c 632: 297:. Hemoglobin molecules clump together via 5083:disorders of globin and globulin proteins 3729: 3678: 3632: 3487: 3430: 3348: 3235: 3184: 3174: 3092: 2963: 2909: 2891: 2823: 2619: 2450: 2362: 2352: 2274: 2264: 2223: 2213: 2134: 2116: 1890: 1832: 595: 563: 551: 550: 540: 534: 533: 532: 500: 498: 3006: 3004: 3002: 3000: 2998: 1322: 1308:Normal, prediabetic, and diabetic ranges 1065: 461:Diabetes Control and Complications Trial 364: 255:, which results in impaired blood flow. 3791:- NIDDK (old site, archived 2010-02-21) 3415:"Standards of medical care in diabetes" 1597: 1595: 1591: 3712:Delack JB, Stogdale L (October 1983). 3413:American Diabetes Association (2007). 2768: 2409: 2407: 430:high-performance liquid chromatography 401:molecules attach to the hemoglobin in 29: 2247:Unnikrishnan, Ranjit (Jul–Aug 2012). 2094: 2092: 2090: 2088: 1719:from the original on 24 December 2022 1693:Pongudom, Saranya (1 November 2019). 351:(sometimes called "bad cholesterol") 7: 5365:Metabolic assessment and monitoring 3803:Standards of Care in Diabetes - 2024 1849:from the original on 5 December 2018 479:have agreed that, in the future, HbA 397:When blood glucose levels are high, 5641:Notable people with type 1 diabetes 5153:(SIDD, SIRD, MOD and MARD clusters) 4131:Glycogen phosphorylase isoenzyme BB 1046:The approximate mapping between HbA 471:The American Diabetes Association, 3134:. 12 November 2010. Archived from 599: 591: 585: 582: 579: 573: 570: 567: 564: 528: 522: 519: 516: 510: 507: 504: 501: 210:. It was first characterized as a 25: 5595:International Diabetes Federation 3394:from the original on 28 July 2017 3335:(Suppl 1): S4–S10. January 2010. 1794:from the original on 12 July 2020 987:Lower-than-expected levels of HbA 477:International Diabetes Federation 5471:Hyperosmolar hyperglycemic state 3757: 3571:repository.oai.yamaguchi-u.ac.jp 3454:Klonoff, David C. (2019-03-22). 2792:"A Summary of the Advance Trial" 2488:10.1111/j.1464-5491.2004.01311.x 1580:Structure of glycated hemoglobin 1526:Standardization and traceability 446:boronate affinity chromatography 374:Principle in medical diagnostics 102:is a standard single test. Most 3580:from the original on 2011-07-16 3365:from the original on 2010-01-13 3284:from the original on 2017-10-02 3109:from the original on 2012-02-19 2880:New England Journal of Medicine 2790:Heller, Simon R. (2009-11-01). 2577:from the original on 2011-07-20 2309:from the original on 2015-10-15 1907:from the original on 2015-09-23 1056:eAG(mmol/L) = 1.59 × A1C − 2.59 293:in hemoglobin to regain its Fe 231:, Ronald Koenig and coworkers. 2249:"Drugs affecting HbA1c levels" 1054:eAG(mg/dL) = 28.7 × A1C − 46.7 611: 602: 596: 560: 188:cation exchange chromatography 1: 5530:Diabetes-related skin disease 4088:Comprehensive metabolic panel 3797:Standards of Care in Diabetes 3388:American Diabetes Association 2701:10.1016/S0140-6736(09)61969-3 2531:). April 2008. Archived from 2024:Biochem. Biophys. Res. Commun 1989:Biochem. Biophys. Res. Commun 1954:Biochem. Biophys. Res. Commun 1314:American Diabetes Association 1058:(Data in parentheses are 95% 841:American Diabetes Association 175:hemoglobin is preferred over 5328:Homeostatic model assessment 3783:Health Information: Diabetes 3666:British Journal of Nutrition 2452:10.1373/clinchem.2008.103556 2354:10.1371/journal.pone.0024278 2099:Saleh, Jumana (2015-08-26). 2036:10.1016/0006-291X(75)90289-2 2001:10.1016/0006-291X(69)90685-8 1966:10.1016/0006-291X(68)90430-0 1551:levels is favoured instead. 5313:Noninvasive glucose monitor 4024:Thyroid-stimulating hormone 3986:Total iron-binding capacity 2956:10.1136/bmjopen-2017-015949 2105:World Journal of Cardiology 2071:10.1056/NEJM197608192950804 1815:"Glycated or glycosylated?" 1477:autoimmune hemolytic anemia 1470:ion-exchange chromatography 905:skills are also important. 382:. This reaction produces a 5698: 5545:Diabetic cheiroarthropathy 5374:Ambulatory glucose profile 5181:Impaired glucose tolerance 4365:Elevated alpha-fetoprotein 1892:10.1093/clinchem/44.9.1951 1432:) with low blood glucose ( 5293:Postprandial glucose test 5078: 3680:10.1017/S0007114516000076 3528:10.1093/clinchem/30.3.485 3237:10.2337/diacare.25.8.1326 2775:: CS1 maint: unfit URL ( 2606:(Suppl 1): S6–S12. 2009. 2172:10.1080/10408399409527667 1756:10.1080/00365510500236143 1603:Hemoglobin A1c Fact Sheet 1074: 1068: 812:Interpretation of results 483:is to be reported in the 455:In the United States, HbA 442:capillary electrophoresis 5631:Epidemiology of diabetes 5369:Blood glucose monitoring 5245:Type 3c (pancreatogenic) 5176:Impaired fasting glucose 3472:10.1177/1932296819841698 3303:"Change to HbA1c values" 2196:Pohanka M (March 2021). 1637:10.1126/science.12192669 1442:blood glucose monitoring 320:proteins, which promote 144:and as an assessment of 5488:Neuropathic arthropathy 3894:BUN-to-creatinine ratio 3659:Sun J, Buys NJ (2016). 2266:10.4103/2230-8210.98004 1834:10.4045/tidsskr.14.0172 852:hypoglycemic episodes. 299:cross-linking reactions 88:glycosylated hemoglobin 18:Glycosylated hemoglobin 5667:Diabetes-related tests 5436:Gastric bypass surgery 5318:Insulin tolerance test 5288:Glucose tolerance test 5193:Ketosis-prone diabetes 5164:Diabetes and pregnancy 4327:Elevated transaminases 4019:Thyroid function tests 3981:Transferrin saturation 3841:Clinical biochemistry 3309:. 2013. Archived from 2802:(Suppl 2): S357–S361. 1605:. Accessed 2024-07-02. 973:cardiovascular disease 624: 370: 333:vascular smooth muscle 249:blood cell aggregation 208:chromatographic column 150:cardiovascular disease 118:, spontaneously (i.e. 4121:Lactate dehydrogenase 4083:Basic metabolic panel 4014:ACTH stimulation test 2893:10.1056/NEJMoa0802743 2855:(7 Suppl 7): e7–e12. 2299:"NGSP: HbA1c and eAG" 2118:10.4330/wjc.v7.i8.449 1533:point-of-care testing 880:macrovascular disease 625: 392:Amadori rearrangement 368: 335:layer and inactivate 305:of innermost layers ( 5626:Glossary of diabetes 5585:Open Insulin Project 5421:Embryonic stem cells 5158:Gestational diabetes 4141:Liver function tests 3996:Transferrin receptor 3770:glycated hemoglobin 3522:. pp. 485–486. 3138:on 23 September 2015 2215:10.3390/bios11030070 1507:Modification by diet 1501:gestational diabetes 1396:Indications and uses 1060:confidence intervals 938:erectile dysfunction 872:diabetic nephropathy 868:diabetic retinopathy 497: 467:Switch to IFCC units 278:-hemoglobin through 251:and increased blood 5636:History of diabetes 5621:Outline of diabetes 5550:Diabetic foot ulcer 5535:Diabetic dermopathy 5494:Organs in diabetes 5426:Artificial pancreas 5386:Diabetes medication 5283:Glycated hemoglobin 4939:Glycated hemoglobin 4909:Carbaminohemoglobin 4157:Serum total protein 4152:Human serum albumin 3425:(Suppl 1): S4–S41. 3132:Diabetes In Control 2345:2011PLoSO...624278S 1672:10.1021/bi00406a016 1629:1981Sci...213..222B 1543:Veterinary medicine 1468:, when measured by 1455:1,5-anhydroglucitol 1415:sickle-cell disease 1325: 997:sickle-cell disease 960:All-cause mortality 876:diabetic neuropathy 327:Highly glycated Hb- 262:, which results in 80:Glycated hemoglobin 33:Glycated hemoglobin 5600:World Diabetes Day 5188:Insulin resistance 3929:Arterial blood gas 3767:has a profile for 2419:2013-09-09 at the 2414:HbA1c in a new way 2391:2008-08-29 at the 1878:Clinical Chemistry 1323: 620: 371: 5649: 5648: 5343:Disposition index 5273:Blood sugar level 5143:Type 1 diabetes ( 5090: 5089: 5041: 5040: 5037: 5036: 4973: 4972: 4904:Carboxyhemoglobin 4892: 4891: 4785: 4784: 4599: 4598: 4377: 4376: 4373: 4372: 4306: 4305: 4259:Blood sugar level 4238:Pancreatic lipase 4076:Total cholesterol 3906:Serum osmolal gap 3901:Plasma osmolality 3773: 3625:10.2337/dc09-9033 3432:10.2337/dc07-S004 3341:10.2337/dc10-S004 3176:10.2337/dc10-0988 3169:(12): 2546–2548. 3085:10.2337/dc08-0545 3035:10.1136/bmj.b4432 2886:(24): 2545–2559. 2808:10.2337/dc09-S339 2695:(9713): 481–489. 2612:10.2337/dc09-S006 2523:(Press release). 1927:J. Lab. Clin. Med 1623:(4504): 222–224. 1561:Diabetes mellitus 1393: 1392: 1369:40 - 47 mmol/mol 1305: 1304: 822:diabetes mellitus 809: 808: 578: 548: 547: 544: 515: 235:Damage mechanisms 138:blood sugar level 120:non-enzymatically 77: 76: 16:(Redirected from 5689: 5381:Diet in diabetes 5117: 5110: 5103: 5094: 4982: 4621: 4610: 4449: 4442: 4433: 4404: 4397: 4390: 4381: 4349:Hyperproteinemia 4315: 4255: 3835: 3828: 3821: 3812: 3771: 3761: 3760: 3744: 3743: 3733: 3709: 3703: 3699: 3693: 3692: 3682: 3673:(7): 1167–1177. 3656: 3647: 3646: 3636: 3619:(7): 1327–1334. 3604: 3598: 3595: 3589: 3588: 3586: 3585: 3579: 3568: 3560: 3554: 3553: 3551: 3550: 3544: 3538:. Archived from 3517: 3508: 3502: 3501: 3491: 3451: 3445: 3444: 3434: 3410: 3404: 3403: 3401: 3399: 3380: 3374: 3373: 3371: 3370: 3352: 3321: 3315: 3314: 3299: 3293: 3292: 3290: 3289: 3283: 3272: 3264: 3258: 3257: 3239: 3230:(8): 1326–1330. 3215: 3209: 3205: 3199: 3198: 3188: 3178: 3154: 3148: 3147: 3145: 3143: 3124: 3118: 3117: 3115: 3114: 3096: 3079:(8): 1473–1478. 3064: 3055: 3054: 3018: 3012: 3008: 2993: 2989: 2978: 2977: 2967: 2933: 2924: 2923: 2913: 2895: 2871: 2865: 2864: 2844: 2838: 2837: 2827: 2787: 2781: 2780: 2774: 2766: 2764: 2763: 2752: 2746: 2745: 2743: 2742: 2727: 2721: 2720: 2683: 2677: 2676: 2657:10.1136/bmj.b800 2640: 2634: 2633: 2623: 2592: 2586: 2585: 2583: 2582: 2576: 2561: 2553: 2547: 2546: 2544: 2543: 2537: 2522: 2514: 2508: 2507: 2471: 2465: 2464: 2454: 2445:(8): 1379–1385. 2430: 2424: 2411: 2402: 2396: 2383: 2377: 2376: 2366: 2356: 2324: 2318: 2317: 2315: 2314: 2295: 2289: 2288: 2278: 2268: 2244: 2238: 2237: 2227: 2217: 2193: 2184: 2183: 2155: 2149: 2148: 2138: 2120: 2096: 2083: 2082: 2054: 2048: 2047: 2019: 2013: 2012: 1984: 1978: 1977: 1949: 1943: 1942: 1922: 1916: 1915: 1913: 1912: 1894: 1885:(9): 1951–1958. 1868: 1862: 1861: 1856: 1854: 1836: 1810: 1804: 1803: 1801: 1799: 1782: 1776: 1775: 1739: 1733: 1732: 1726: 1724: 1690: 1684: 1683: 1666:(6): 1901–1907. 1655: 1649: 1648: 1612: 1606: 1599: 1520:type-2 diabetics 1457:, also known as 1411:hemoglobinopathy 1407:hemolytic anemia 1355:<40 mmol/mol 1326: 1200:16.5 (13.3–19.3) 1186:14.9 (12.0–17.5) 1172:13.4 (10.7–15.7) 1077: 1066: 914:coronary disease 862:A review of the 850: 633: 629: 627: 626: 621: 594: 576: 556: 555: 549: 545: 542: 541: 539: 538: 531: 513: 389: 284: 247:. This leads to 146:glycemic control 61: 47: 30: 21: 5697: 5696: 5692: 5691: 5690: 5688: 5687: 5686: 5652: 5651: 5650: 5645: 5609: 5580:T1International 5572: 5571:Advocacy & 5566: 5442: 5391:Insulin therapy 5347: 5259: 5126: 5121: 5091: 5086: 5074: 5063:Cytochrome P450 5033: 5015: 4969: 4948: 4927: 4918:Deoxyhemoglobin 4888: 4884: 4880: 4870: 4866: 4856: 4852: 4842: 4838: 4828: 4824: 4814: 4804: 4781: 4777: 4773: 4763: 4759: 4754: 4746: 4742: 4725: 4721: 4717: 4707: 4703: 4686: 4682: 4678: 4673:HbE Portland II 4668: 4664: 4654: 4650: 4640: 4636: 4615: 4595: 4522: 4453:Alpha locus on 4422: 4408: 4378: 4369: 4353: 4342:Hypoalbuminemia 4337:Hypoproteinemia 4302: 4276: 4250:Small molecules 4244: 4214: 4135: 4092: 4030: 4000: 3957: 3947: 3910: 3845: 3839: 3779: 3778: 3777: 3762: 3758: 3753: 3748: 3747: 3724:(10): 308–311. 3711: 3710: 3706: 3700: 3696: 3658: 3657: 3650: 3606: 3605: 3601: 3596: 3592: 3583: 3581: 3577: 3566: 3562: 3561: 3557: 3548: 3546: 3542: 3515: 3510: 3509: 3505: 3453: 3452: 3448: 3412: 3411: 3407: 3397: 3395: 3382: 3381: 3377: 3368: 3366: 3323: 3322: 3318: 3301: 3300: 3296: 3287: 3285: 3281: 3270: 3266: 3265: 3261: 3217: 3216: 3212: 3206: 3202: 3156: 3155: 3151: 3141: 3139: 3126: 3125: 3121: 3112: 3110: 3066: 3065: 3058: 3020: 3019: 3015: 3011:PMID: 37562009. 3009: 2996: 2990: 2981: 2935: 2934: 2927: 2873: 2872: 2868: 2846: 2845: 2841: 2789: 2788: 2784: 2767: 2761: 2759: 2754: 2753: 2749: 2740: 2738: 2729: 2728: 2724: 2685: 2684: 2680: 2642: 2641: 2637: 2594: 2593: 2589: 2580: 2578: 2574: 2559: 2555: 2554: 2550: 2541: 2539: 2535: 2520: 2516: 2515: 2511: 2473: 2472: 2468: 2432: 2431: 2427: 2421:Wayback Machine 2412: 2405: 2399: 2393:Wayback Machine 2384: 2380: 2326: 2325: 2321: 2312: 2310: 2297: 2296: 2292: 2246: 2245: 2241: 2195: 2194: 2187: 2157: 2156: 2152: 2098: 2097: 2086: 2059:N. Engl. J. Med 2056: 2055: 2051: 2021: 2020: 2016: 1986: 1985: 1981: 1951: 1950: 1946: 1924: 1923: 1919: 1910: 1908: 1870: 1869: 1865: 1852: 1850: 1812: 1811: 1807: 1797: 1795: 1784: 1783: 1779: 1741: 1740: 1736: 1722: 1720: 1692: 1691: 1687: 1657: 1656: 1652: 1614: 1613: 1609: 1600: 1593: 1588: 1557: 1545: 1528: 1509: 1498: 1494: 1452: 1439: 1427: 1423: 1398: 1347: 1341: 1335: 1319: 1310: 1158:11.8 (9.4–13.9) 1144:10.2 (8.1–12.1) 1072: 1057: 1055: 1049: 1044: 1036: 1031:reference range 1011: 990: 985: 911: 900: 892: 885: 858: 848: 846: 838: 831: 827: 819: 814: 651: 645: 639: 495: 494: 482: 469: 458: 426: 403:red blood cells 387: 376: 295:oxidation state 279: 264:atherosclerotic 237: 204: 170: 104:monosaccharides 84:glycohemoglobin 57: 43: 28: 23: 22: 15: 12: 11: 5: 5695: 5693: 5685: 5684: 5679: 5674: 5669: 5664: 5654: 5653: 5647: 5646: 5644: 5643: 5638: 5633: 5628: 5623: 5617: 5615: 5611: 5610: 5608: 5607: 5602: 5597: 5592: 5587: 5582: 5576: 5574: 5568: 5567: 5565: 5564: 5559: 5554: 5553: 5552: 5547: 5542: 5540:Diabetic bulla 5537: 5527: 5526: 5525: 5520: 5515: 5510: 5505: 5500: 5492: 5491: 5490: 5485: 5475: 5474: 5473: 5468: 5463: 5456:Diabetic comas 5452: 5450: 5444: 5443: 5441: 5440: 5439: 5438: 5430: 5429: 5428: 5423: 5415: 5413:Diabetic shoes 5410: 5409: 5408: 5403: 5398: 5388: 5383: 5378: 5377: 5376: 5371: 5363: 5357: 5355: 5349: 5348: 5346: 5345: 5340: 5335: 5330: 5325: 5320: 5315: 5310: 5305: 5300: 5295: 5290: 5285: 5280: 5275: 5269: 5267: 5261: 5260: 5258: 5257: 5252: 5247: 5242: 5241: 5240: 5235: 5225: 5224: 5223: 5196: 5190: 5185: 5184: 5183: 5178: 5168: 5167: 5166: 5154: 5148: 5141: 5140:(SAID cluster) 5134: 5132: 5128: 5127: 5122: 5120: 5119: 5112: 5105: 5097: 5088: 5087: 5079: 5076: 5075: 5073: 5072: 5067: 5066: 5065: 5060: 5049: 5047: 5043: 5042: 5039: 5038: 5035: 5034: 5032: 5031: 5025: 5023: 5017: 5016: 5014: 5013: 5008: 5003: 5002: 5001: 4990: 4988: 4979: 4975: 4974: 4971: 4970: 4968: 4967: 4965:Erythrocruorin 4962: 4956: 4954: 4950: 4949: 4947: 4946: 4941: 4935: 4933: 4929: 4928: 4926: 4925: 4923:Sulfhemoglobin 4920: 4911: 4906: 4900: 4898: 4894: 4893: 4890: 4889: 4887: 4886: 4882: 4878: 4872: 4868: 4864: 4858: 4854: 4850: 4844: 4840: 4836: 4830: 4826: 4822: 4816: 4812: 4806: 4802: 4795: 4793: 4787: 4786: 4783: 4782: 4780: 4779: 4775: 4771: 4765: 4761: 4757: 4752: 4748: 4744: 4740: 4733: 4731: 4727: 4726: 4724: 4723: 4719: 4715: 4709: 4705: 4701: 4694: 4692: 4688: 4687: 4685: 4684: 4680: 4676: 4670: 4666: 4662: 4659:HbE Portland I 4656: 4652: 4648: 4642: 4638: 4634: 4627: 4625: 4618: 4607: 4601: 4600: 4597: 4596: 4594: 4593: 4592: 4591: 4581: 4580: 4579: 4574: 4564: 4563: 4562: 4552: 4551: 4550: 4539: 4537: 4524: 4523: 4521: 4520: 4519: 4518: 4508: 4507: 4506: 4496: 4495: 4494: 4484: 4483: 4482: 4477: 4472: 4461: 4459: 4446: 4439: 4430: 4424: 4423: 4409: 4407: 4406: 4399: 4392: 4384: 4375: 4374: 4371: 4370: 4368: 4367: 4361: 4359: 4355: 4354: 4352: 4351: 4346: 4345: 4344: 4334: 4329: 4323: 4321: 4312: 4308: 4307: 4304: 4303: 4301: 4300: 4295: 4290: 4284: 4282: 4278: 4277: 4275: 4274: 4269: 4263: 4261: 4252: 4246: 4245: 4243: 4242: 4241: 4240: 4230: 4224: 4222: 4216: 4215: 4213: 4212: 4211: 4210: 4205: 4195: 4190: 4189: 4188: 4183: 4178: 4166: 4161: 4160: 4159: 4154: 4145: 4143: 4137: 4136: 4134: 4133: 4128: 4123: 4118: 4113: 4108: 4106:Cardiac marker 4102: 4100: 4098:Cardiovascular 4094: 4093: 4091: 4090: 4085: 4080: 4079: 4078: 4073: 4068: 4063: 4053: 4052: 4051: 4049:Hemoglobin A1c 4040: 4038: 4032: 4031: 4029: 4028: 4027: 4026: 4016: 4010: 4008: 4002: 4001: 3999: 3998: 3993: 3988: 3983: 3978: 3973: 3967: 3965: 3959: 3958: 3956: 3955: 3950: 3945: 3941: 3936: 3931: 3926: 3920: 3918: 3912: 3911: 3909: 3908: 3903: 3898: 3897: 3896: 3891: 3886: 3879:Renal function 3876: 3871: 3866: 3861: 3855: 3853: 3847: 3846: 3840: 3838: 3837: 3830: 3823: 3815: 3809: 3808: 3807: 3806: 3794: 3793: 3792: 3763: 3756: 3755: 3754: 3752: 3751:External links 3749: 3746: 3745: 3704: 3694: 3648: 3599: 3590: 3555: 3503: 3446: 3405: 3375: 3316: 3313:on 2013-07-26. 3294: 3259: 3210: 3200: 3149: 3119: 3056: 3013: 2994: 2979: 2950:(7): e015949. 2925: 2866: 2839: 2782: 2747: 2722: 2678: 2635: 2587: 2548: 2509: 2482:(7): 673–676. 2466: 2425: 2403: 2397: 2378: 2319: 2290: 2259:(4): 528–531. 2239: 2185: 2166:(4): 321–369. 2150: 2111:(8): 449–453. 2084: 2065:(8): 417–420. 2049: 2030:(1): 103–109. 2014: 1995:(5): 838–843. 1979: 1944: 1933:(2): 312–327. 1917: 1863: 1805: 1777: 1734: 1707:(6): 804–809. 1685: 1650: 1607: 1590: 1589: 1587: 1584: 1583: 1582: 1573: 1568: 1563: 1556: 1553: 1544: 1541: 1527: 1524: 1508: 1505: 1496: 1492: 1466:kidney failure 1450: 1437: 1425: 1421: 1397: 1394: 1391: 1390: 1387: 1384: 1381: 1377: 1376: 1373: 1370: 1367: 1363: 1362: 1359: 1356: 1353: 1349: 1348: 1345: 1342: 1339: 1336: 1333: 1330: 1317: 1309: 1306: 1303: 1302: 1301:499 (410–570) 1299: 1296: 1293: 1289: 1288: 1287:470 (380–540) 1285: 1282: 1279: 1275: 1274: 1273:441 (460–510) 1271: 1268: 1265: 1261: 1260: 1259:413 (330–480) 1257: 1254: 1251: 1247: 1246: 1245:384 (310–440) 1243: 1240: 1237: 1233: 1232: 1231:355 (290–410) 1229: 1226: 1223: 1219: 1218: 1217:326 (260–380) 1215: 1212: 1209: 1205: 1204: 1203:298 (240–347) 1201: 1198: 1195: 1191: 1190: 1189:269 (217–314) 1187: 1184: 1181: 1177: 1176: 1175:240 (193–282) 1173: 1170: 1167: 1163: 1162: 1161:212 (170–249) 1159: 1156: 1153: 1149: 1148: 1147:183 (147–217) 1145: 1142: 1139: 1135: 1134: 1133:154 (123–185) 1131: 1130:8.6 (6.8–10.3) 1128: 1125: 1121: 1120: 1119:126 (100–152) 1117: 1114: 1111: 1107: 1106: 1103: 1100: 1097: 1093: 1092: 1089: 1086: 1083: 1079: 1078: 1073: 1070: 1064: 1063: 1047: 1043: 1040: 1034: 1027:Hypothyroidism 1014:blood donation 1009: 988: 984: 981: 930:kidney failure 909: 898: 890: 883: 856: 844: 843:recommends HbA 836: 829: 825: 817: 813: 810: 807: 806: 803: 800: 796: 795: 792: 789: 785: 784: 781: 778: 774: 773: 770: 767: 763: 762: 759: 756: 752: 751: 748: 745: 741: 740: 737: 734: 730: 729: 726: 723: 719: 718: 715: 712: 708: 707: 704: 701: 697: 696: 693: 690: 686: 685: 682: 679: 675: 674: 671: 668: 664: 663: 660: 657: 653: 652: 649: 646: 643: 640: 637: 631: 630: 619: 616: 613: 610: 607: 604: 601: 598: 593: 590: 587: 584: 581: 575: 572: 569: 566: 562: 559: 554: 537: 530: 527: 524: 521: 518: 512: 509: 506: 503: 480: 468: 465: 456: 425: 422: 375: 372: 307:subendothelium 285:into abnormal 245:cell membranes 236: 233: 229:Anthony Cerami 203: 200: 169: 166: 75: 74: 69: 63: 62: 55: 49: 48: 41: 35: 34: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 5694: 5683: 5680: 5678: 5675: 5673: 5670: 5668: 5665: 5663: 5660: 5659: 5657: 5642: 5639: 5637: 5634: 5632: 5629: 5627: 5624: 5622: 5619: 5618: 5616: 5612: 5606: 5603: 5601: 5598: 5596: 5593: 5591: 5588: 5586: 5583: 5581: 5578: 5577: 5575: 5573:Organizations 5569: 5563: 5560: 5558: 5557:Hyperglycemia 5555: 5551: 5548: 5546: 5543: 5541: 5538: 5536: 5533: 5532: 5531: 5528: 5524: 5521: 5519: 5516: 5514: 5511: 5509: 5506: 5504: 5501: 5499: 5498:Blood vessels 5496: 5495: 5493: 5489: 5486: 5484: 5481: 5480: 5479: 5478:Diabetic foot 5476: 5472: 5469: 5467: 5464: 5462: 5459: 5458: 5457: 5454: 5453: 5451: 5449: 5448:Complications 5445: 5437: 5434: 5433: 5431: 5427: 5424: 5422: 5419: 5418: 5416: 5414: 5411: 5407: 5404: 5402: 5399: 5397: 5394: 5393: 5392: 5389: 5387: 5384: 5382: 5379: 5375: 5372: 5370: 5367: 5366: 5364: 5362: 5359: 5358: 5356: 5354: 5350: 5344: 5341: 5339: 5336: 5334: 5331: 5329: 5326: 5324: 5321: 5319: 5316: 5314: 5311: 5309: 5306: 5304: 5301: 5299: 5296: 5294: 5291: 5289: 5286: 5284: 5281: 5279: 5276: 5274: 5271: 5270: 5268: 5266: 5262: 5256: 5253: 5251: 5248: 5246: 5243: 5239: 5236: 5234: 5231: 5230: 5229: 5226: 5222: 5219: 5216: 5213: 5210: 5207: 5204: 5203: 5201: 5197: 5194: 5191: 5189: 5186: 5182: 5179: 5177: 5174: 5173: 5172: 5169: 5165: 5162: 5161: 5159: 5155: 5152: 5149: 5146: 5142: 5139: 5136: 5135: 5133: 5129: 5125: 5118: 5113: 5111: 5106: 5104: 5099: 5098: 5095: 5085: 5084: 5077: 5071: 5070:Methemalbumin 5068: 5064: 5061: 5059: 5056: 5055: 5054: 5051: 5050: 5048: 5044: 5030: 5029:Leghemoglobin 5027: 5026: 5024: 5022: 5018: 5012: 5009: 5007: 5004: 5000: 4997: 4996: 4995: 4992: 4991: 4989: 4987: 4983: 4980: 4976: 4966: 4963: 4961: 4960:Chlorocruorin 4958: 4957: 4955: 4951: 4945: 4944:Methemoglobin 4942: 4940: 4937: 4936: 4934: 4930: 4924: 4921: 4919: 4915: 4914:Oxyhemoglobin 4912: 4910: 4907: 4905: 4902: 4901: 4899: 4895: 4876: 4873: 4862: 4859: 4848: 4845: 4834: 4831: 4820: 4817: 4810: 4807: 4800: 4797: 4796: 4794: 4792: 4788: 4769: 4766: 4755: 4749: 4738: 4735: 4734: 4732: 4728: 4713: 4710: 4699: 4696: 4695: 4693: 4689: 4674: 4671: 4660: 4657: 4646: 4643: 4632: 4629: 4628: 4626: 4622: 4619: 4617: 4611: 4608: 4606: 4602: 4590: 4587: 4586: 4585: 4582: 4578: 4575: 4573: 4570: 4569: 4568: 4565: 4561: 4558: 4557: 4556: 4553: 4549: 4546: 4545: 4544: 4541: 4540: 4538: 4536: 4534: 4530: 4525: 4517: 4514: 4513: 4512: 4509: 4505: 4502: 4501: 4500: 4497: 4493: 4490: 4489: 4488: 4485: 4481: 4478: 4476: 4473: 4471: 4468: 4467: 4466: 4463: 4462: 4460: 4458: 4456: 4450: 4447: 4443: 4440: 4438: 4434: 4431: 4429: 4425: 4420: 4416: 4413:that contain 4412: 4405: 4400: 4398: 4393: 4391: 4386: 4385: 4382: 4366: 4363: 4362: 4360: 4356: 4350: 4347: 4343: 4340: 4339: 4338: 4335: 4333: 4330: 4328: 4325: 4324: 4322: 4320: 4316: 4313: 4309: 4299: 4296: 4294: 4293:Hyperuricemia 4291: 4289: 4286: 4285: 4283: 4279: 4273: 4272:Hyperglycemia 4270: 4268: 4265: 4264: 4262: 4260: 4256: 4253: 4251: 4247: 4239: 4236: 4235: 4234: 4231: 4229: 4226: 4225: 4223: 4221: 4217: 4209: 4206: 4204: 4201: 4200: 4199: 4196: 4194: 4191: 4187: 4186:AST/ALT ratio 4184: 4182: 4179: 4177: 4174: 4173: 4172: 4171: 4170:transaminases 4167: 4165: 4162: 4158: 4155: 4153: 4150: 4149: 4147: 4146: 4144: 4142: 4138: 4132: 4129: 4127: 4124: 4122: 4119: 4117: 4114: 4112: 4111:Troponin test 4109: 4107: 4104: 4103: 4101: 4099: 4095: 4089: 4086: 4084: 4081: 4077: 4074: 4072: 4071:Triglycerides 4069: 4067: 4064: 4062: 4059: 4058: 4057: 4054: 4050: 4047: 4046: 4045: 4044:Blood glucose 4042: 4041: 4039: 4037: 4033: 4025: 4022: 4021: 4020: 4017: 4015: 4012: 4011: 4009: 4007: 4003: 3997: 3994: 3992: 3989: 3987: 3984: 3982: 3979: 3977: 3974: 3972: 3969: 3968: 3966: 3964: 3960: 3954: 3951: 3949: 3942: 3940: 3937: 3935: 3932: 3930: 3927: 3925: 3922: 3921: 3919: 3917: 3913: 3907: 3904: 3902: 3899: 3895: 3892: 3890: 3887: 3885: 3882: 3881: 3880: 3877: 3875: 3872: 3870: 3867: 3865: 3862: 3860: 3857: 3856: 3854: 3852: 3848: 3844: 3836: 3831: 3829: 3824: 3822: 3817: 3816: 3813: 3804: 3801: 3800: 3798: 3795: 3790: 3787: 3786: 3784: 3781: 3780: 3775: 3774: 3766: 3750: 3741: 3737: 3732: 3727: 3723: 3719: 3715: 3708: 3705: 3698: 3695: 3690: 3686: 3681: 3676: 3672: 3668: 3667: 3662: 3655: 3653: 3649: 3644: 3640: 3635: 3630: 3626: 3622: 3618: 3614: 3613:Diabetes Care 3610: 3603: 3600: 3594: 3591: 3576: 3572: 3565: 3559: 3556: 3545:on 2011-06-07 3541: 3537: 3533: 3529: 3525: 3521: 3514: 3507: 3504: 3499: 3495: 3490: 3485: 3481: 3477: 3473: 3469: 3465: 3461: 3457: 3450: 3447: 3442: 3438: 3433: 3428: 3424: 3420: 3419:Diabetes Care 3416: 3409: 3406: 3393: 3389: 3385: 3379: 3376: 3364: 3360: 3356: 3351: 3346: 3342: 3338: 3334: 3330: 3329:Diabetes Care 3326: 3320: 3317: 3312: 3308: 3304: 3298: 3295: 3280: 3276: 3269: 3263: 3260: 3255: 3251: 3247: 3243: 3238: 3233: 3229: 3225: 3224:Diabetes Care 3221: 3214: 3211: 3204: 3201: 3196: 3192: 3187: 3182: 3177: 3172: 3168: 3164: 3163:Diabetes Care 3160: 3153: 3150: 3137: 3133: 3129: 3123: 3120: 3108: 3104: 3100: 3095: 3090: 3086: 3082: 3078: 3074: 3073:Diabetes Care 3070: 3063: 3061: 3057: 3052: 3048: 3044: 3040: 3036: 3032: 3028: 3024: 3017: 3014: 3007: 3005: 3003: 3001: 2999: 2995: 2988: 2986: 2984: 2980: 2975: 2971: 2966: 2961: 2957: 2953: 2949: 2945: 2944: 2939: 2932: 2930: 2926: 2921: 2917: 2912: 2907: 2903: 2899: 2894: 2889: 2885: 2881: 2877: 2870: 2867: 2862: 2858: 2854: 2850: 2843: 2840: 2835: 2831: 2826: 2821: 2817: 2813: 2809: 2805: 2801: 2797: 2796:Diabetes Care 2793: 2786: 2783: 2778: 2772: 2757: 2751: 2748: 2737:on 2012-07-17 2736: 2732: 2726: 2723: 2718: 2714: 2710: 2706: 2702: 2698: 2694: 2690: 2682: 2679: 2674: 2670: 2666: 2662: 2658: 2654: 2650: 2646: 2639: 2636: 2631: 2627: 2622: 2617: 2613: 2609: 2605: 2601: 2600:Diabetes Care 2597: 2591: 2588: 2573: 2569: 2565: 2558: 2552: 2549: 2538:on 2011-07-22 2534: 2530: 2526: 2519: 2513: 2510: 2505: 2501: 2497: 2493: 2489: 2485: 2481: 2477: 2470: 2467: 2462: 2458: 2453: 2448: 2444: 2440: 2436: 2429: 2426: 2422: 2418: 2415: 2410: 2408: 2404: 2401: 2398: 2394: 2390: 2387: 2382: 2379: 2374: 2370: 2365: 2360: 2355: 2350: 2346: 2342: 2339:(9): e24278. 2338: 2334: 2330: 2323: 2320: 2308: 2304: 2300: 2294: 2291: 2286: 2282: 2277: 2272: 2267: 2262: 2258: 2254: 2250: 2243: 2240: 2235: 2231: 2226: 2221: 2216: 2211: 2207: 2203: 2199: 2192: 2190: 2186: 2181: 2177: 2173: 2169: 2165: 2161: 2154: 2151: 2146: 2142: 2137: 2132: 2128: 2124: 2119: 2114: 2110: 2106: 2102: 2095: 2093: 2091: 2089: 2085: 2080: 2076: 2072: 2068: 2064: 2060: 2053: 2050: 2045: 2041: 2037: 2033: 2029: 2025: 2018: 2015: 2010: 2006: 2002: 1998: 1994: 1990: 1983: 1980: 1975: 1971: 1967: 1963: 1959: 1955: 1948: 1945: 1940: 1936: 1932: 1928: 1921: 1918: 1906: 1902: 1898: 1893: 1888: 1884: 1880: 1879: 1874: 1867: 1864: 1860: 1848: 1844: 1840: 1835: 1830: 1826: 1822: 1821: 1816: 1809: 1806: 1793: 1789: 1788: 1781: 1778: 1773: 1769: 1765: 1761: 1757: 1753: 1749: 1745: 1738: 1735: 1730: 1718: 1714: 1710: 1706: 1702: 1701: 1696: 1689: 1686: 1681: 1677: 1673: 1669: 1665: 1661: 1654: 1651: 1646: 1642: 1638: 1634: 1630: 1626: 1622: 1618: 1611: 1608: 1604: 1598: 1596: 1592: 1585: 1581: 1577: 1574: 1572: 1569: 1567: 1566:Hemoglobin A2 1564: 1562: 1559: 1558: 1554: 1552: 1550: 1542: 1540: 1538: 1537:point-of-care 1534: 1525: 1523: 1521: 1517: 1513: 1512:Meta-analysis 1506: 1504: 1502: 1488: 1486: 1482: 1478: 1473: 1471: 1467: 1462: 1460: 1456: 1448: 1443: 1435: 1431: 1430:hyperglycemia 1418: 1416: 1412: 1408: 1402: 1395: 1388: 1385: 1383:≥48 mmol/mol 1382: 1379: 1378: 1374: 1371: 1368: 1365: 1364: 1360: 1357: 1354: 1351: 1350: 1343: 1337: 1331: 1328: 1327: 1321: 1315: 1307: 1300: 1297: 1294: 1291: 1290: 1286: 1283: 1280: 1277: 1276: 1272: 1269: 1266: 1263: 1262: 1258: 1255: 1252: 1249: 1248: 1244: 1241: 1238: 1235: 1234: 1230: 1227: 1224: 1221: 1220: 1216: 1213: 1210: 1207: 1206: 1202: 1199: 1196: 1193: 1192: 1188: 1185: 1182: 1179: 1178: 1174: 1171: 1168: 1165: 1164: 1160: 1157: 1154: 1151: 1150: 1146: 1143: 1140: 1137: 1136: 1132: 1129: 1126: 1123: 1122: 1118: 1116:7.0 (5.5–8.5) 1115: 1112: 1109: 1108: 1104: 1102:5.4 (4.2–6.7) 1101: 1098: 1095: 1094: 1090: 1087: 1084: 1081: 1080: 1067: 1061: 1053: 1052: 1051: 1041: 1039: 1032: 1028: 1024: 1023:erythropoetin 1018: 1015: 1006: 1002: 998: 994: 982: 980: 976: 974: 970: 966: 965:hyperglycemia 961: 957: 955: 954:wound healing 951: 950:gastroparesis 947: 943: 939: 935: 931: 927: 926:heart failure 923: 919: 915: 906: 904: 895: 887: 881: 877: 873: 869: 865: 860: 853: 842: 833: 823: 811: 804: 801: 798: 797: 793: 790: 787: 786: 782: 779: 776: 775: 771: 768: 765: 764: 760: 757: 754: 753: 749: 746: 743: 742: 738: 735: 732: 731: 727: 724: 721: 720: 716: 713: 710: 709: 705: 702: 699: 698: 694: 691: 688: 687: 683: 680: 677: 676: 672: 669: 666: 665: 661: 658: 655: 654: 647: 641: 635: 634: 617: 614: 608: 605: 588: 557: 525: 493: 492: 491: 488: 486: 478: 474: 466: 464: 462: 453: 451: 450:Point of care 447: 443: 439: 435: 431: 423: 421: 418: 414: 412: 406: 404: 400: 395: 393: 385: 381: 373: 367: 363: 361: 356: 354: 350: 346: 342: 338: 337:acetylcholine 334: 330: 325: 323: 319: 316: 312: 308: 304: 300: 296: 292: 288: 282: 277: 273: 269: 265: 261: 256: 254: 250: 246: 242: 241:free radicals 234: 232: 230: 225: 223: 221: 217: 216:Samuel Rahbar 213: 209: 201: 199: 197: 193: 189: 184: 182: 178: 174: 167: 165: 163: 159: 155: 151: 147: 143: 139: 134: 132: 128: 123: 121: 117: 113: 109: 105: 101: 98:, or simply 97: 93: 90:is a form of 89: 85: 81: 73: 70: 68: 64: 60: 56: 54: 50: 46: 42: 40: 36: 31: 19: 5562:Hypoglycemia 5466:Ketoacidosis 5461:Hypoglycemia 5401:conventional 5303:Glucose test 5298:Fructosamine 5282: 5080: 5058:Cytochrome b 5020: 4999:Metmyoglobin 4985: 4938: 4790: 4616:development: 4613: 4583: 4566: 4554: 4542: 4527: 4510: 4498: 4486: 4464: 4452: 4419:hemoproteins 4332:Elevated ALP 4298:Hypouricemia 4267:Hypoglycemia 4203:Unconjugated 4168: 4048: 3851:Electrolytes 3769: 3721: 3717: 3707: 3697: 3670: 3664: 3616: 3612: 3602: 3593: 3582:. Retrieved 3570: 3558: 3547:. Retrieved 3540:the original 3520:clinchem.com 3519: 3506: 3463: 3459: 3449: 3422: 3418: 3408: 3396:. Retrieved 3387: 3378: 3367:. Retrieved 3332: 3328: 3319: 3311:the original 3297: 3286:. Retrieved 3274: 3262: 3227: 3223: 3213: 3203: 3166: 3162: 3152: 3140:. Retrieved 3136:the original 3131: 3122: 3111:. Retrieved 3076: 3072: 3026: 3022: 3016: 2947: 2941: 2883: 2879: 2869: 2852: 2848: 2842: 2799: 2795: 2785: 2760:. Retrieved 2750: 2739:. Retrieved 2735:the original 2725: 2692: 2688: 2681: 2648: 2644: 2638: 2603: 2599: 2590: 2579:. Retrieved 2551: 2540:. Retrieved 2533:the original 2512: 2479: 2475: 2469: 2442: 2438: 2428: 2400: 2381: 2336: 2332: 2322: 2311:. Retrieved 2302: 2293: 2256: 2252: 2242: 2205: 2201: 2163: 2159: 2153: 2108: 2104: 2062: 2058: 2052: 2027: 2023: 2017: 1992: 1988: 1982: 1960:(1): 86–93. 1957: 1953: 1947: 1930: 1926: 1920: 1909:. Retrieved 1882: 1876: 1866: 1858: 1851:. Retrieved 1827:(22): 2179. 1824: 1818: 1808: 1796:. Retrieved 1786: 1780: 1747: 1743: 1737: 1727:– via 1721:. Retrieved 1704: 1698: 1688: 1663: 1660:Biochemistry 1659: 1653: 1620: 1616: 1610: 1549:fructosamine 1546: 1529: 1510: 1489: 1485:fructosamine 1481:prednisolone 1474: 1463: 1436:) or the HbA 1434:hypoglycemia 1419: 1403: 1399: 1366:Prediabetes 1344:"Mono S" HbA 1311: 1298:27.7 (23–32) 1284:26.1 (21–30) 1270:24.5 (20–28) 1256:22.9 (19–26) 1242:21.3 (17–25) 1228:19.7 (16–23) 1214:18.1 (15–21) 1105:97 (76–120) 1045: 1019: 1003:or glycated 1001:fructosamine 986: 977: 969:hypoglycemia 958: 918:heart attack 907: 896: 888: 861: 854: 834: 815: 648:"Mono S" HbA 489: 470: 454: 427: 419: 415: 407: 396: 377: 357: 341:nitric oxide 326: 260:inflammation 257: 238: 226: 218: 212:glycoprotein 205: 196:subfractions 185: 181:glycosylated 180: 177:glycosylated 171: 135: 124: 106:, including 99: 95: 87: 83: 79: 78: 5682:Hemoglobins 5662:Blood tests 5605:Diabetes UK 5333:SPINA-GBeta 5265:Blood tests 5171:Prediabetes 5006:Neuroglobin 4932:Other human 4645:HbE Gower 2 4631:HbE Gower 1 4281:Nitrogenous 4116:CPK-MB test 4056:Lipid panel 3991:Transferrin 3939:Bicarbonate 3934:Base excess 3843:blood tests 3307:Diabetes UK 3208:PMC5240076. 2564:Diabetes UK 2529:Diabetes UK 2476:Diabet. Med 1723:24 December 1576:Proteopedia 1571:Prediabetes 1025:treatment. 434:immunoassay 424:Measurement 384:Schiff base 345:vasodilator 331:go through 311:endothelium 291:amino acids 168:Terminology 162:retinopathy 154:nephropathy 39:MedlinePlus 5656:Categories 5361:Prevention 5353:Management 5278:Biomarkers 5053:Cytochrome 5011:Cytoglobin 4791:pathology: 4614:stages of 4529:Beta locus 4437:Hemoglobin 4208:Conjugated 4036:Metabolism 3976:Serum iron 3963:Iron tests 3884:Creatinine 3584:2009-08-31 3549:2009-08-31 3466:(1): 3–7. 3398:2 December 3369:2010-01-02 3288:2015-12-14 3113:2009-09-24 2762:2013-06-10 2741:2013-06-10 2689:The Lancet 2581:2009-07-02 2542:2009-07-02 2439:Clin. Chem 2313:2024-06-21 2202:Biosensors 1911:2024-06-21 1853:5 December 1798:2 December 1586:References 1516:probiotics 1514:has shown 1413:) such as 1375:4.7%-5.4% 1338:"DCCT" HbA 1332:"IFCC" HbA 1329:Diagnosis 942:neuropathy 656:(mmol/mol) 642:"DCCT" HbA 636:"IFCC" HbA 411:life-cycle 380:beta chain 322:macrophage 272:excitation 158:neuropathy 92:hemoglobin 5406:pulsatile 5396:intensive 5308:C-peptide 5238:Permanent 5233:Transient 5198:Type 3a ( 5081:see also 4994:Myoglobin 4897:Compounds 4768:HbF/Fetal 4698:HbF/Fetal 4624:Embryonic 4605:Tetramers 4198:Bilirubin 4148:Proteins 4126:Myoglobin 3924:Anion gap 3916:Acid-base 3864:Potassium 3772:(Q311213) 3718:Can Vet J 3480:1932-2968 3246:0149-5992 3029:: b4432. 2992:34964868. 2902:0028-4793 2816:0149-5992 2208:(3): 70. 2127:1949-8462 1750:: 61–72. 1459:GlycoMark 1389:>5.5% 1380:Diabetes 1372:5.7–6.4% 1361:<4.7% 1358:<5.7% 1312:The 2010 934:blindness 903:self-care 615:× 606:− 600:% 438:enzymatic 253:viscosity 131:glycation 112:galactose 53:eMedicine 5672:Diabetes 5338:SPINA-GR 5228:Neonatal 5156:Type 4 ( 5147:cluster) 5124:Diabetes 4953:Nonhuman 4445:Subunits 4411:Proteins 4311:Proteins 4288:Azotemia 4220:Pancreas 4006:Hormones 3971:Ferritin 3869:Chloride 3740:17422317 3689:26899960 3643:19502545 3575:Archived 3498:30897962 3441:17192377 3392:Archived 3363:Archived 3359:20042774 3279:Archived 3254:12145229 3195:20823345 3142:6 August 3107:Archived 3103:18540046 3051:36941786 3043:19903702 2974:28760792 2943:BMJ Open 2920:18539917 2861:20644204 2834:19875581 2771:cite web 2717:21223855 2709:20110121 2673:45188963 2665:19264821 2651:: b800. 2645:Br Med J 2630:19118288 2572:Archived 2504:30468208 2496:15209757 2461:18539643 2417:Archived 2389:Archived 2373:21931669 2333:PLOS ONE 2307:Archived 2303:ngsp.org 2285:22837911 2234:33806493 2145:26322184 1939:13564011 1905:Archived 1847:Archived 1843:25423986 1792:Archived 1772:30162967 1764:16112961 1717:Archived 1713:31882432 1645:12192669 1555:See also 1447:Medicare 1085:mmol/mol 946:gangrene 388:R−N=CHR' 353:oxidized 318:adhesion 315:monocyte 268:atheroma 266:plaque ( 173:Glycated 142:diabetes 127:diabetes 116:fructose 5677:Glucose 4428:Globins 4228:Amylase 3953:Lactate 3948:content 3874:Calcium 3765:Scholia 3731:1790442 3634:2699715 3536:6697506 3489:7189151 3350:2797389 3186:2992186 3094:2742903 2965:5642750 2911:4551392 2825:2811451 2621:2613586 2364:3169586 2341:Bibcode 2276:3401751 2225:8000313 2180:7945894 2136:4549778 2044:1201013 2009:5808299 1974:4874776 1901:9732983 1680:3132203 1625:Bibcode 1617:Science 1352:Normal 1005:albumin 849:2008–09 440:assay, 399:glucose 202:History 192:elution 108:glucose 72:41995-2 59:2049478 5518:Retina 5513:Nerves 5508:Kidney 5503:Muscle 5432:Other 5250:Type 3 5206:Type 1 5151:Type 2 5138:Type 1 5021:plant: 4986:human: 4480:pseudo 4233:Lipase 3859:Sodium 3738:  3728:  3687:  3641:  3631:  3534:  3496:  3486:  3478:  3439:  3357:  3347:  3252:  3244:  3193:  3183:  3101:  3091:  3049:  3041:  2972:  2962:  2918:  2908:  2900:  2859:  2832:  2822:  2814:  2715:  2707:  2671:  2663:  2628:  2618:  2566:(with 2527:(with 2502:  2494:  2459:  2371:  2361:  2283:  2273:  2232:  2222:  2178:  2143:  2133:  2125:  2079:934240 2077:  2042:  2007:  1972:  1937:  1899:  1841:  1770:  1762:  1729:PubMed 1711:  1678:  1643:  1386:≥6.5% 1091:mg/dL 1088:mmol/L 948:, and 922:stroke 878:, and 618:10.929 577:  514:  475:, and 355:form. 303:matrix 287:ferryl 160:, and 114:, and 45:003640 5614:Other 5523:Heart 5483:ulcer 5417:Cure 5195:(KPD) 5131:Types 5046:Other 4978:Other 4809:Barts 4730:Adult 4691:Fetal 4358:Other 3578:(PDF) 3567:(PDF) 3543:(PDF) 3516:(PDF) 3282:(PDF) 3271:(PDF) 3047:S2CID 2713:S2CID 2669:S2CID 2575:(PDF) 2560:(PDF) 2536:(PDF) 2521:(PDF) 2500:S2CID 1768:S2CID 1062:>) 864:UKPDS 805:10.6 444:, or 220:et al 96:HbA1c 67:LOINC 5590:JDRF 5255:MIDD 5200:MODY 5145:LADA 4589:HBE1 4577:HBG2 4572:HBG1 4504:HBQ1 4475:HBA2 4470:HBA1 4415:heme 3889:Urea 3736:PMID 3685:PMID 3639:PMID 3532:PMID 3494:PMID 3476:ISSN 3437:PMID 3400:2018 3355:PMID 3250:PMID 3242:ISSN 3191:PMID 3144:2015 3099:PMID 3039:PMID 2970:PMID 2916:PMID 2898:ISSN 2857:PMID 2830:PMID 2812:ISSN 2777:link 2705:PMID 2661:PMID 2626:PMID 2492:PMID 2457:PMID 2369:PMID 2281:PMID 2230:PMID 2176:PMID 2141:PMID 2123:ISSN 2075:PMID 2040:PMID 2005:PMID 1970:PMID 1935:PMID 1897:PMID 1855:2018 1839:PMID 1800:2018 1760:PMID 1725:2022 1709:PMID 1676:PMID 1641:PMID 967:and 802:11.3 794:9.6 791:10.4 783:8.7 772:7.7 761:7.2 750:6.8 739:6.3 728:5.8 717:5.3 706:4.8 695:3.9 684:2.9 673:2.0 662:(%) 609:2.14 543:mmol 360:heme 349:LDLs 329:AGEs 100:A1c, 4875:HbO 4861:HbE 4847:HbC 4833:HbS 4819:HbD 4799:HbH 4751:HbA 4737:HbA 4712:HbA 4560:HBD 4548:HBB 4531:on 4516:HBM 4492:HBZ 4319:LFT 4193:GGT 4181:AST 4176:ALT 4164:ALP 4066:HDL 4061:LDL 3726:PMC 3675:doi 3671:115 3629:PMC 3621:doi 3524:doi 3484:PMC 3468:doi 3427:doi 3345:PMC 3337:doi 3232:doi 3181:PMC 3171:doi 3089:PMC 3081:doi 3031:doi 3027:339 3023:BMJ 2960:PMC 2952:doi 2906:PMC 2888:doi 2884:358 2853:110 2820:PMC 2804:doi 2697:doi 2693:375 2653:doi 2649:338 2616:PMC 2608:doi 2570:). 2484:doi 2447:doi 2359:PMC 2349:doi 2271:PMC 2261:doi 2220:PMC 2210:doi 2168:doi 2131:PMC 2113:doi 2067:doi 2063:295 2032:doi 1997:doi 1962:doi 1887:doi 1829:doi 1825:134 1752:doi 1748:240 1668:doi 1633:doi 1621:213 1491:HbA 1475:In 1295:184 1281:173 1267:162 1253:151 1239:140 1225:130 1211:119 1197:108 1076:eAG 1069:HbA 1008:HbA 799:100 780:9.5 769:8.6 758:8.1 747:7.6 736:7.2 725:6.7 714:6.3 703:5.8 692:4.9 681:4.0 670:3.1 659:(%) 546:mol 283:-Hb 274:of 5658:: 5202:) 5160:) 4877:(α 4863:(α 4849:(α 4835:(α 4821:(α 4811:(γ 4801:(β 4770:(α 4756:(α 4739:(α 4714:(α 4700:(α 4675:(ζ 4661:(ζ 4647:(α 4633:(ζ 4533:11 4455:16 3944:CO 3734:. 3722:24 3720:. 3716:. 3683:. 3669:. 3663:. 3651:^ 3637:. 3627:. 3617:32 3615:. 3611:. 3573:. 3569:. 3530:. 3518:. 3492:. 3482:. 3474:. 3464:14 3462:. 3458:. 3435:. 3423:30 3421:. 3417:. 3390:. 3386:. 3361:. 3353:. 3343:. 3333:33 3331:. 3327:. 3305:. 3273:. 3248:. 3240:. 3228:25 3226:. 3222:. 3189:. 3179:. 3167:33 3165:. 3161:. 3130:. 3105:. 3097:. 3087:. 3077:31 3075:. 3071:. 3059:^ 3045:. 3037:. 3025:. 2997:^ 2982:^ 2968:. 2958:. 2946:. 2940:. 2928:^ 2914:. 2904:. 2896:. 2882:. 2878:. 2851:. 2828:. 2818:. 2810:. 2800:32 2798:. 2794:. 2773:}} 2769:{{ 2711:. 2703:. 2691:. 2667:. 2659:. 2647:. 2624:. 2614:. 2604:32 2602:. 2598:. 2562:. 2498:. 2490:. 2480:21 2478:. 2455:. 2443:54 2441:. 2437:. 2406:^ 2367:. 2357:. 2347:. 2335:. 2331:. 2305:. 2301:. 2279:. 2269:. 2257:16 2255:. 2251:. 2228:. 2218:. 2206:11 2204:. 2200:. 2188:^ 2174:. 2164:34 2162:. 2139:. 2129:. 2121:. 2107:. 2103:. 2087:^ 2073:. 2061:. 2038:. 2028:67 2026:. 2003:. 1993:36 1991:. 1968:. 1958:32 1956:. 1931:52 1929:. 1903:. 1895:. 1883:44 1881:. 1875:. 1857:. 1845:. 1837:. 1823:. 1817:. 1766:. 1758:. 1746:. 1715:. 1705:49 1703:. 1697:. 1674:. 1664:27 1662:. 1639:. 1631:. 1619:. 1594:^ 1578:: 1497:1c 1493:1c 1451:1c 1438:1c 1426:1c 1422:1c 1346:1c 1340:1c 1334:1c 1318:1c 1292:19 1278:18 1264:17 1250:16 1236:15 1222:14 1208:13 1194:12 1183:97 1180:11 1169:86 1166:10 1155:75 1141:64 1127:53 1113:42 1099:31 1071:1c 1048:1c 1035:1c 1010:1c 995:, 989:1c 975:. 956:. 940:, 936:, 932:, 928:, 924:, 920:, 916:, 910:1c 899:1c 891:1c 886:. 884:1c 874:, 870:, 857:1c 845:1c 837:1c 830:1c 826:1c 818:1c 788:90 777:80 766:70 755:65 744:60 733:55 722:50 711:45 700:40 689:30 678:20 667:10 650:1c 644:1c 638:1c 481:1c 457:1c 448:. 436:, 432:, 394:. 281:Fe 276:Fe 198:. 164:. 156:, 152:, 110:, 86:, 82:, 5221:6 5218:5 5215:4 5212:3 5209:2 5116:e 5109:t 5102:v 4916:/ 4885:) 4883:2 4881:β 4879:2 4871:) 4869:2 4867:β 4865:2 4857:) 4855:2 4853:β 4851:2 4843:) 4841:2 4839:β 4837:2 4829:) 4827:2 4825:β 4823:2 4815:) 4813:4 4805:) 4803:4 4778:) 4776:2 4774:γ 4772:2 4764:) 4762:2 4760:δ 4758:2 4753:2 4747:) 4745:2 4743:β 4741:2 4722:) 4720:2 4718:β 4716:2 4708:) 4706:2 4704:γ 4702:2 4683:) 4681:2 4679:β 4677:2 4669:) 4667:2 4665:γ 4663:2 4655:) 4653:2 4651:ε 4649:2 4641:) 4639:2 4637:ε 4635:2 4584:ε 4567:γ 4555:δ 4543:β 4535:: 4511:μ 4499:θ 4487:ζ 4465:α 4457:: 4421:) 4417:( 4403:e 4396:t 4389:v 3946:2 3834:e 3827:t 3820:v 3776:. 3742:. 3691:. 3677:: 3645:. 3623:: 3587:. 3552:. 3526:: 3500:. 3470:: 3443:. 3429:: 3402:. 3372:. 3339:: 3291:. 3256:. 3234:: 3197:. 3173:: 3146:. 3116:. 3083:: 3053:. 3033:: 2976:. 2954:: 2948:7 2922:. 2890:: 2863:. 2836:. 2806:: 2779:) 2765:. 2744:. 2719:. 2699:: 2675:. 2655:: 2632:. 2610:: 2584:. 2545:. 2506:. 2486:: 2463:. 2449:: 2375:. 2351:: 2343:: 2337:6 2316:. 2287:. 2263:: 2236:. 2212:: 2182:. 2170:: 2147:. 2115:: 2109:7 2081:. 2069:: 2046:. 2034:: 2011:. 1999:: 1976:. 1964:: 1941:. 1914:. 1889:: 1831:: 1802:. 1774:. 1754:: 1731:. 1682:. 1670:: 1647:. 1635:: 1627:: 1152:9 1138:8 1124:7 1110:6 1096:5 1082:% 612:] 603:) 597:( 592:c 589:1 586:A 583:B 580:H 574:T 571:C 568:C 565:D 561:[ 558:= 553:) 536:( 529:c 526:1 523:A 520:B 517:H 511:C 508:C 505:F 502:I 386:( 222:. 20:)

Index

Glycosylated hemoglobin
MedlinePlus
003640
eMedicine
2049478
LOINC
41995-2
hemoglobin
monosaccharides
glucose
galactose
fructose
non-enzymatically
diabetes
glycation
blood sugar level
diabetes
glycemic control
cardiovascular disease
nephropathy
neuropathy
retinopathy
Glycated
glycosylated
cation exchange chromatography
elution
subfractions
chromatographic column
glycoprotein
Samuel Rahbar

Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.