O para identificar pacientes de alto riesgo | 12 MAY 14

Uso de la hemoglobina glicosilada para diagnóstico de diabetes

¿Cuál es su utilidad clínica? ¿En qué casos no debe emplearse y qué precauciones tomar? Una completa revisión del para el médico práctico.
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Referencias

↵Hamilton W, Watson J, Round A. Investigating fatigue in primary care. BMJ2010;341:c4259.FREE Full Text
↵National Institute for Health and Care Excellence. Preventing type 2 diabetes overview. 2014. http://pathways.nice.org.uk/pathways/preventing-type-2-diabetes.
↵World Health Organization. Definition, diagnosis and classification of diabetes mellitus and its complications: part 1. Diagnosis and classification of diabetes mellitus. WHO, 1999.
↵Kilpatrick ES, Bloomgarden ZT, Zimmet PZ. Is HbA1c a step forward for diagnosing diabetes? BMJ2009;339:b4432.FREE Full Text
↵Selvin E, Crainiceanu CM, Brancati FL, Coresh J. Short-term variability in measures of glycemia and implications for the classification of diabetes. Arch Intern Med2007;167:1545-51.CrossRefMedlineWeb of Science
↵World Health Organization. Use of glycated haemoglobin (HbA1c) in the diagnosis of diabetes mellitus. WHO, 2011.
↵John WG, on behalf of the UK Department of Health Advisory Committee on Diabetes. Use of HbA1c in the diagnosis of diabetes mellitus in the UK: the implementation of World Health Organization guidance 2011. Diabet Med2012;29:1350-7.CrossRefMedline
↵Lowe LP, Metzger BE, Dyer AR, Lowe J McCance DR, Lappin TR, et al. Hyperglycemia and Adverse Pregnancy Outcome (HAPO) Study: associations of maternal A1c and glucose with pregnancy outcomes. Diabetes Care2012;35:574-80.Abstract/FREE Full Text
↵Lenters-Westra E, Slingerland RJ. Six of eight hemoglobin A1c point-of-care instruments do not meet the general accepted analytical performance criteria. Clin Chem2010;56:44-52.Abstract/FREE Full Text
 

 

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