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HbA1c: chasing numbers or considering context?

Dunning, Trisha and Cukier, Kimberly 2014, HbA1c: chasing numbers or considering context?, Journal of diabetes nursing, vol. 18, no. 1, pp. 13-18.

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Title HbA1c: chasing numbers or considering context?
Author(s) Dunning, TrishaORCID iD for Dunning, Trisha orcid.org/0000-0002-0284-1706
Cukier, Kimberly
Journal name Journal of diabetes nursing
Volume number 18
Issue number 1
Start page 13
End page 18
Total pages 6
Publisher SB Communications Group
Place of publication London, England
Publication date 2014
ISSN 1368-1109
Keyword(s) diabetes mellitus
nursing
hemoglobin A
glycosylated
blood
diagnosis
patient centred care
diabetes education
patient education
Summary Glycated haemoglobin (HbA<sub>1c</sub>) reflects the average blood glucose level in the three months preceding the test. Changes in consecutive HbA<sub>1c</sub> tests indicate deteriorating, or improved, glycaemic control. HbA<sub>1c</sub> is considered to be the "gold standard" measure of blood glucose control and is often used as the basis for prescribing choices and other care decisions. A number of factors can affect the accuracy of the HbA<sub>1c</sub> result, for example, the life span of red blood cells, assay methods and clinicians' awareness of possible interfering factors. The aim of this article is to outline how HbA<sub>1c</sub> is used as a diagnostic test, how it is used to monitor glycaemic control and how it can guide management decisions. It is also important to emphasise the importance of considering HbA<sub>1c</sub> in the context of the individual rather than as an isolated number.
Language eng
Field of Research 110306 Endocrinology
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2014, SB Communications Group
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30061485

Document type: Journal Article
Collections: School of Nursing and Midwifery
School of Medicine
Open Access Collection
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Created: Mon, 10 Mar 2014, 13:58:35 EST by Penny Andrews

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.