Abbreviations:AACCAutonomous community; GPGeneral practitioner; HbA1cGlycated haemoglobin; HDHealth DepartmentINTRODUCTIONGlycated haemoglobin (HbA1c) is one of the most useful and relevant laboratory tests currently available. Not just for monitoring diabetes to adjust treatment and avoid complications, but also for its diagnosis. This aspect is especially crucial in Europe, where the number of people with diabetes is estimated to be 59.8 million (9.1% of the population aged 20‐79), including 23.5 million undiagnosed cases. In addition to its power as a diagnostic and monitoring tool, HbA1c has many advantages when compared to other tests involved in diabetes management. HbA1c is an indicator of the glucose levels in the previous 3 months, it is not invasive, benefits from standardised methodology and sample stability, there is no gap between sample collection in primary care centres and laboratory analysis, and is very affordable. However the potency of any laboratory test, regardless of its intrinsic potential as a diagnostic, monitoring or detection tool, is given for the correct or incorrect use in each patient or specific setting.In 2008, we first detected an inappropriate HbA1c over‐ and also under‐ request in patients with and without diabetes in eight health departments (HDs) in Valencia community. The same results were observed in
Journal of Clinical Laboratory Analysis – Wiley
Published: Jan 1, 2018
Keywords: ; ; ;
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