Glycated haemoglobin - when can we trust it? Analysis of factors affecting the HbA1c level

Epidemiological data leaves no illusions – diabetes mellitus is a real epidemic of a non-communicable disease. Glycated haemoglobin was isolated with chromatography column as a separate subtype of haemoglobin as early as in 1958. An increase in its concentration in response to hyperglycaemia has al...

Full description

Bibliographic Details
Main Authors: Marcin Lewicki, Łukasz Chołuj, Marta Molendowska, Zuzanna Czarnota, Rafał Mazur, Mateusz Tyniec, Agata Barbara Smoleń
Format: Article
Language:English
Published: Kazimierz Wielki University 2018-12-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/25970
_version_ 1818009883458404352
author Marcin Lewicki
Łukasz Chołuj
Marta Molendowska
Zuzanna Czarnota
Rafał Mazur
Mateusz Tyniec
Agata Barbara Smoleń
author_facet Marcin Lewicki
Łukasz Chołuj
Marta Molendowska
Zuzanna Czarnota
Rafał Mazur
Mateusz Tyniec
Agata Barbara Smoleń
author_sort Marcin Lewicki
collection DOAJ
description Epidemiological data leaves no illusions – diabetes mellitus is a real epidemic of a non-communicable disease. Glycated haemoglobin was isolated with chromatography column as a separate subtype of haemoglobin as early as in 1958. An increase in its concentration in response to hyperglycaemia has already been recognized in 1969. Glycated hemoglobin (HbA1c) is a routinely used marker for long-term glycemic control in patients with diabetes. With HbA1C measurement we are able to retrospectively assess the average blood glucose levels. HbA1c correlates well with the risk of long-term diabetes complications. However, HbA1C levels may sometimes be misleading as a reliable measure of glycemic control. HbA1c values measurements are prone to diagnostic interference with many factors. The aim of this review was to present the numerous clinical scenarios in which the use of HbA1c levels alone for either diagnosis or as a marker of glycemic control, may lead to false assumptions.
first_indexed 2024-04-14T05:48:31Z
format Article
id doaj.art-5b651d0dacca455dba2e155a92fca324
institution Directory Open Access Journal
issn 2391-8306
language English
last_indexed 2024-04-14T05:48:31Z
publishDate 2018-12-01
publisher Kazimierz Wielki University
record_format Article
series Journal of Education, Health and Sport
spelling doaj.art-5b651d0dacca455dba2e155a92fca3242022-12-22T02:09:13ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062018-12-01812Glycated haemoglobin - when can we trust it? Analysis of factors affecting the HbA1c levelMarcin Lewicki0Łukasz Chołuj1Marta Molendowska2Zuzanna Czarnota3Rafał Mazur4Mateusz Tyniec5Agata Barbara Smoleń6Chair and Department of Epidemiology and Clinical Research Methodology of the Medical University of Lublin, ul. Radziwiłłowska 11, Lublin 20-080Student Scientific Association at Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin, ul. Radziwiłłowska 11, Lublin 20-080Student Scientific Association at Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin, ul. Radziwiłłowska 11, Lublin 20-080Student Scientific Association at Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin, ul. Radziwiłłowska 11, Lublin 20-080Student Scientific Association at Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin, ul. Radziwiłłowska 11, Lublin 20-080Chair and Department of Epidemiology and Clinical Research Methodology of the Medical University of Lublin, ul. Radziwiłłowska 11, Lublin 20-080Chair and Department of Epidemiology and Clinical Research Methodology of the Medical University of Lublin, ul. Radziwiłłowska 11, Lublin 20-080Epidemiological data leaves no illusions – diabetes mellitus is a real epidemic of a non-communicable disease. Glycated haemoglobin was isolated with chromatography column as a separate subtype of haemoglobin as early as in 1958. An increase in its concentration in response to hyperglycaemia has already been recognized in 1969. Glycated hemoglobin (HbA1c) is a routinely used marker for long-term glycemic control in patients with diabetes. With HbA1C measurement we are able to retrospectively assess the average blood glucose levels. HbA1c correlates well with the risk of long-term diabetes complications. However, HbA1C levels may sometimes be misleading as a reliable measure of glycemic control. HbA1c values measurements are prone to diagnostic interference with many factors. The aim of this review was to present the numerous clinical scenarios in which the use of HbA1c levels alone for either diagnosis or as a marker of glycemic control, may lead to false assumptions.https://apcz.umk.pl/JEHS/article/view/25970glycated haemoglobinHbA1Cdiabetes mellitus
spellingShingle Marcin Lewicki
Łukasz Chołuj
Marta Molendowska
Zuzanna Czarnota
Rafał Mazur
Mateusz Tyniec
Agata Barbara Smoleń
Glycated haemoglobin - when can we trust it? Analysis of factors affecting the HbA1c level
Journal of Education, Health and Sport
glycated haemoglobin
HbA1C
diabetes mellitus
title Glycated haemoglobin - when can we trust it? Analysis of factors affecting the HbA1c level
title_full Glycated haemoglobin - when can we trust it? Analysis of factors affecting the HbA1c level
title_fullStr Glycated haemoglobin - when can we trust it? Analysis of factors affecting the HbA1c level
title_full_unstemmed Glycated haemoglobin - when can we trust it? Analysis of factors affecting the HbA1c level
title_short Glycated haemoglobin - when can we trust it? Analysis of factors affecting the HbA1c level
title_sort glycated haemoglobin when can we trust it analysis of factors affecting the hba1c level
topic glycated haemoglobin
HbA1C
diabetes mellitus
url https://apcz.umk.pl/JEHS/article/view/25970
work_keys_str_mv AT marcinlewicki glycatedhaemoglobinwhencanwetrustitanalysisoffactorsaffectingthehba1clevel
AT łukaszchołuj glycatedhaemoglobinwhencanwetrustitanalysisoffactorsaffectingthehba1clevel
AT martamolendowska glycatedhaemoglobinwhencanwetrustitanalysisoffactorsaffectingthehba1clevel
AT zuzannaczarnota glycatedhaemoglobinwhencanwetrustitanalysisoffactorsaffectingthehba1clevel
AT rafałmazur glycatedhaemoglobinwhencanwetrustitanalysisoffactorsaffectingthehba1clevel
AT mateusztyniec glycatedhaemoglobinwhencanwetrustitanalysisoffactorsaffectingthehba1clevel
AT agatabarbarasmolen glycatedhaemoglobinwhencanwetrustitanalysisoffactorsaffectingthehba1clevel