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A1c test misses many diabetes diagnosis frequently
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<blockquote data-quote="madman" data-source="post: 142986" data-attributes="member: 13851"><p><a href="https://medicalxpress.com/news/2019-03-a1c-cases-diabetes.html" target="_blank">A1c test misses many cases of diabetes</a></p><p></p><p></p><p><strong><span style="color: rgb(0, 0, 0)">Using the hemoglobin A1c blood test to diagnose diabetes tends to</span><span style="color: rgb(184, 49, 47)"> underestimate the prevalence of the disease</span></strong><span style="color: rgb(184, 49, 47)">,</span> according to a new study to be presented Saturday, March 23 at ENDO 2019, the Endocrine Society's annual meeting in New Orleans, La.</p><p></p><p></p><p>The new study included 9,000 adults without a diabetes diagnosis. The participants got both an A1c test and an oral tolerance glucose test, and the researchers compared the results. <strong>The researchers found the A1c test didn't catch <span style="color: rgb(184, 49, 47)">73 percent of diabetes cases </span>that were detected by the oral glucose test.</strong> <strong><span style="color: rgb(184, 49, 47)">"The A1c test said these people had normal glucose levels when they didn't</span></strong>," Chang Villacreses said.</p><p></p><p></p><p><strong>The researchers also found <span style="color: rgb(184, 49, 47)">race and ethnicity</span> had a significant impact on the accuracy of A1c. </strong>It was more likely to detect abnormal glucose levels in non-Hispanic whites than in non-Hispanic blacks or Hispanics.</p><p></p><p></p><p><strong>"Our results indicated that the prevalence of diabetes and normal glucose tolerance <span style="color: rgb(184, 49, 47)">defined solely by A1c is highly unreliable, with a significant tendency for underestimation </span>of the prevalence of diabetes <span style="color: rgb(184, 49, 47)">and overestimation of normal <a href="https://medicalxpress.com/tags/glucose/" target="_blank">glucose</a> tolerance</span></strong><span style="color: rgb(184, 49, 47)">," </span>Chang Villacreses said.</p></blockquote><p></p>
[QUOTE="madman, post: 142986, member: 13851"] [URL='https://medicalxpress.com/news/2019-03-a1c-cases-diabetes.html']A1c test misses many cases of diabetes[/URL] [B][COLOR=rgb(0, 0, 0)]Using the hemoglobin A1c blood test to diagnose diabetes tends to[/COLOR][COLOR=rgb(184, 49, 47)] underestimate the prevalence of the disease[/COLOR][/B][COLOR=rgb(184, 49, 47)],[/COLOR] according to a new study to be presented Saturday, March 23 at ENDO 2019, the Endocrine Society's annual meeting in New Orleans, La. The new study included 9,000 adults without a diabetes diagnosis. The participants got both an A1c test and an oral tolerance glucose test, and the researchers compared the results. [B]The researchers found the A1c test didn't catch [COLOR=rgb(184, 49, 47)]73 percent of diabetes cases [/COLOR]that were detected by the oral glucose test.[/B] [B][COLOR=rgb(184, 49, 47)]"The A1c test said these people had normal glucose levels when they didn't[/COLOR][/B]," Chang Villacreses said. [B]The researchers also found [COLOR=rgb(184, 49, 47)]race and ethnicity[/COLOR] had a significant impact on the accuracy of A1c. [/B]It was more likely to detect abnormal glucose levels in non-Hispanic whites than in non-Hispanic blacks or Hispanics. [B]"Our results indicated that the prevalence of diabetes and normal glucose tolerance [COLOR=rgb(184, 49, 47)]defined solely by A1c is highly unreliable, with a significant tendency for underestimation [/COLOR]of the prevalence of diabetes [COLOR=rgb(184, 49, 47)]and overestimation of normal [URL='https://medicalxpress.com/tags/glucose/']glucose[/URL] tolerance[/COLOR][/B][COLOR=rgb(184, 49, 47)]," [/COLOR]Chang Villacreses said. [/QUOTE]
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A1c test misses many diabetes diagnosis frequently
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