2.1.5 Carbohydrates (Tests for Monitoring Glycemic Control) Flashcards
Most commonly analyzed using POCT devices at home or at the patient’s bedside
a. Whole blood Glucose
b. Glycated hemoglobin (HbA1c)
c. Fructosamine
a
In whole blood glucose, _______ times daily for type 1 DM patients according to ADA guidelines for analyzing using POCT
3-4
In whole Blood Glucose, it is about ____________ than plasma glucose level
a. 5-10% LOWER
b. 5-10% HIGHER
c. 10-15% Higher
d. 10-15% LOWER
d. 10-15% LOWER
In whole Blood Glucose,
The ADA glycemic goals is consist of
Pre prandial (Before meal)
- _____________ mg/dl
POst prandial (After meal)
- _____________ mg/dl
70 -130
180
Glycated hemoglobin:
Hb A with Glucose is IRREVERSIBLY attached to one or both N terminal valines of the Alpha chains
T or F
F
Not alpha, - Beta
Consideration for glycated Hemoglobin
- the average plasma glucose level
- LIFE SPAN of RBC (120 days / 4months)
T or F
T
Glycated hemoglobin provides an index average blood glucose levels over the past _______ months
a. 4 months
b. 2-3 months
c. 3-4 months
d. 120 days
b
Glycated hemoglobin is unreliable in patient with ?
a. Bacterial infection
b. Hemolytic disorders
c. Leukopenia
d. Cancer
b
Glycated hemoglobin ADA glycemic goal is?
a. < 7%
b. > 6.5%
c. > 12%
d. 5.6 - 6.4%
a
USE for Monitoring
> 6.5 is for Screening
Poor control for Hb 1ac
a. < 7%
b. > 6.5%
c. > 12%
d. 5.6 - 6.4%
c
Substitute monitoring if the patient has DM, or Hemoglobinopathy
a. WHole Blood Glucose
b. Hb A1c
c. Fructosamine
c
Fructosamine is known as glycosylated albumin
T or G
T
Half life of albumin?
17 days
Fructosamine is used to assess glycemic control over the pass _______ weeks in case when HbA1c is unreliable
2-3
Fructosamine has advantage of using what specimen?
Serum
