March 22, 2021

How should you assess glycemic control if the hemoglobin A1c is inaccurate or uninterpretable?

Cleveland Clinic Journal of Medicine

There are a LOT of conditions that can affect hemA1c such as chronic kidney or liver disease, hemolytic anemia, iron deficiency, pregnancy, as well as b12 and folate deficiencies. There are several ways around this including more frequent glucose monitoring, serum fructosamine, and there is work now looking at the value of glycated albumin.