oa Journal of Endocrinology, Metabolism and Diabetes in South Africa - Should haemoglobin A1c be used for the diagnosis of diabetes mellitus in South Africa? : review article
|Article Title||Should haemoglobin A1c be used for the diagnosis of diabetes mellitus in South Africa? : review article|
|© Publisher:||Medpharm Publications|
|Journal||Journal of Endocrinology, Metabolism and Diabetes in South Africa|
|Affiliations||1 National Health Laboratory Service and 2 University of Witwatersrand|
|Publication Date||Jan 2011|
|Pages||122 - 127|
|Keyword(s)||Diabetes, Fasting plasma glucose, Glycated haemoglobin and Oral glucose tolerance test|
Diabetes is an important medical problem in sub-Saharan Africa. It has traditionally been diagnosed by means of fasting plasma glucose, random blood glucose or an oral glucose tolerance test. Each of these has limitations and, in 2009, an expert committee of the American Diabetes Association recommended using the haemoglobin A1c (HbA1c) to diagnose diabetes mellitus. The aim of this paper is to analyse the advantages and disadvantages of using HbA1c as a diagnostic method for diabetes, and its applicability in the South African setting.
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