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See detailA propos de l'hémoglobine glycquée: les limites de son interprétation
Sepulchre, E; LUTTERI, Laurence ULg; CAVALIER, Etienne ULg et al

in Revue Médicale de Liège (2014), 69(9), 497-503

Determining the level of glycated haemoglobin, in particular its major fraction called HbA1c, is an attractive tool in the management of diabetic patients. In fact, it provides a global evaluation of the ... [more ▼]

Determining the level of glycated haemoglobin, in particular its major fraction called HbA1c, is an attractive tool in the management of diabetic patients. In fact, it provides a global evaluation of the glycemic control’s level through the past 8-12 weeks. However, this tool must be used with caution. First of all, it does not allow to examine the glycemic kinetics since it represents a glycemic average. Secondly, it does not allow to appreciate the glycemic evolution through the full day. This dosage needs then sometimes to be complemented by fingersticks blood glucose testing. Last but not least, caution is advised in interpreting the results because a number of physiological, pathological and technical factors might interfere with HbA1c measurement. It is therefore important that physicians keep a critical view of the values obtained. The paper reviews the different methods used to determine the level of glycated haemoglobin and their limitations. It also emphasizes the medical situations in which over- and under-estimation of the real HbA1c value could occur. It does not address the specific issue of the new expression values of HbA1c in mmol/mol instead of %. Moreover, the medical situations in which over- and under estimation of the real HbA1c value could occur will be described. [less ▲]

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See detailPremiers enseignements de l’étude DESCENDANCE : prévalence des dysglycémies méconnues chez des apparentés de diabétiques de type 2 sur deux générations
Cosson, E; Gourdy, p; Penformis, A et al

in Résumés des communications de la réunion scientifique de la SFD 2013 (2013)

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See detailDiabète et Ramadan : représentations et pratiques de santé des patients et des soignants et intérêts de l'éducation thérapeutique du patient
Smaoui, N; Böhme, P; Collin, JF et al

in Diabètes & Métabolism (2012), 38(2), 47-48

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See detailCampagnes de sensibilisation au dépistage du diabète de type 2 dans les pharmacies. Comparaison de deux approches : glycémie capillaire et grille Findrisc
Böhme, P; Agrinier, N; Badia, M et al

in Diabètes & Métabolism (2012), 38(2), 7

Detailed reference viewed: 31 (3 ULg)