Wednesday, January 14, 2009

Glycosylated hemoglobin was actually referring to the glucose glycosylated hemoglobin (ie hemoglobin), by measuring blood glycosylated hemoglobin (HbA

Glycosylated hemoglobin (HbA1c) concept
Glycosylated hemoglobin was actually referring to the glucose glycosylated hemoglobin (ie hemoglobin), by measuring blood glycosylated hemoglobin (HbA1c) levels, may reflect a diabetic in the past few months and the bad state of diabetes control .
Glycosylated hemoglobin (HbA1c) The clinical significance of
Glycosylated hemoglobin is hexose (mainly glucose) and the combination of the formation of hemoglobin, the reaction in the red blood cell survival has always been carried out within 120 days, and not subject to the impact of blood glucose concentration, therefore, glycated hemoglobin can be detected before the 120 days reflects the average blood glucose level , and with the blood of time, whether the patient is fasting, is it not related to the use of insulin and other factors are considered long-term control of diabetes to determine a good indicator of the U.S. National Diabetes Association recommends that diabetic patients clearly should have regular testing glycosylated hemoglobin.

Strict control of blood glucose of patients (HbA1c <8%) can:
● retinopathy dropped 76% ● kidney disease dropped 56% ● nervous system lesions decreased 60% ● cardiovascular disease declined 41% ● Hb1Ac every 1 percent decline in microvascular complications can lead to decline 35%

HbA1c and the relationship between average blood glucose level
HbA1c

The average blood sugar level
% Level mg / dl mmol / L

14.0
13.5
13.0
12.5
12.0
11.5
11.0
10.5

Significantly increased, we must
To take relevant measures 360

330

300

270

20

18.3

16.7

15


10.0
9.5
9.0
8.5
Rise, should be taken
The measures

240

210

13.3

11.7


8.0
7.5
7.0 mildly elevated,
Effective control of diabetes
The goal of
180

150
10

8.3
6.5
6.0
5.5
5.0
4.5
4.0


Normal range



120

90

60

6.7

5

3.3

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