HbA1c jelentése és értékelése - CukorbetegKözpont

A1c diabetes, HgbA1C - Mit jelent az értéke a laborleletben?

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    Boston Children's Hospital Rövid összefoglaló Immediate feedback of hemoglobin A1c A1c a1c diabetes to adults with type 1 and 2 diabetes allows more appropriate care decisions at the clinic visit and may improve glycemic control. The investigators' objective is to determine whether immediate feedback of A1c results to children with type 1 diabetes will improve patient care and glycemic control.

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    Részletes leírás Because glycosylated hemoglobin A1c has been shown to reflect average glycemia over several months and has a strong predictive value for diabetes complications, routine quarterly measurements is a standard of care in children and adolescents with Type 1 diabetes mellitus. The A1c value determines whether the patient's glycemic targets have been reached or maintained.

    The availability of the A1c result at the time the patient is seen point-of-care testing has been reported in adults with diabetes to result in increased intensification of therapy and improvement in glycemic control in type 1 and insulin-treated a1c diabetes 2 diabetes and in type 2 diabetes. The A1c may also serve a1c diabetes a check on the a1c diabetes of the patient's glucose meter and the validity of a1c diabetes patient's reported self monitored blood glucose SMBG results.

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    In many clinical settings, A1c is determined in a central laboratory on a blood sample obtained by venipuncture and results usually are available one to two business days after the sample is obtained.

    If the A1c value is different than predicted from a1c diabetes review of available SMBG a1c diabetes at the visit, the practitioner must contact the family to review the results and, revise any care decisions made during the visit.

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    This gestational diabetes lab test is inefficient and fraught with the potential for less than optimal care relating to delays in the practitioner seeing the result, delays in reaching the subject or parents, and absence of the subject's participation in the phone call updating the care plan. Furthermore, many children dread venipuncture, which is often poorly tolerated and makes clinic visits painful, emotionally traumatic and unpleasant experiences.

    Because there are no published data on the utility of point-of-care A1c testing in children and adolescents with diabetes, we designed a prospective randomized controlled trial to determine if subjects a1c diabetes received immediate feedback of A1c results at their clinic visits would have a lower A1c as compared to those who received A1c results after the clinic visit.

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    Finally we will assess the relative pain caused by fingerstick blood sampling as compared to venipuncture. Átfogó állapot.

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