Читать книгу A Practical Approach to Special Care in Dentistry - Группа авторов - Страница 223
Diagnosis
ОглавлениеWhen symptoms of diabetes are present, 2 or more repeat tests are undertaken to confirm the diagnosis, as summarised in Table 5.1.3
Elevated HbA1c is a risk factor for the development of coronary heart disease and stroke
In conditions associated with increased red blood cell turnover, such as sickle cell disease, pregnancy (second and third trimesters), haemodialysis, recent blood loss or transfusion, or erythropoietin therapy, only plasma blood glucose criteria should be used to diagnose diabetes
Haemoglobin variants can also interfere with the measurement of HbA1c (e.g. sickle cell trait).
Serum fructosamine levels may be considered as an appropriate laboratory measurement when monitoring long‐term glycaemic control in patients with underlying haemoglobinopathies