Screening

Question 1

Conversion from A1C to average BG

Answer 1

(A1C-6) x2 +6
Ie A1C = 7%

7-6 x2 +6 = 8mmol/L

Question 2

Suggested fig and ppg target if A1C of 7 or less is not being reached with typical targets

Answer 2

Typical
Fbg 4-7; ppg 5-10
Reduce to
Fbg 4-5.5; ppg 5-8

Question 3

Define A1C

Answer 3

Glycated Hemoglobing A1C is an estimate of the mean plasma glucose over the previous 8-12 weeks

The mean BG in the past 30days preceding the sample contributes 50% and the prior 90-120days contributes 10%

Question 4

How often should A1C be done

Answer 4

Every 3 months if glycemic targets and not being met and therapy is being adjusted

Every 6 months of things are stable

I’m special cases (like pregnancy ) it can be tested more frequently than 3 months

Question 5

Converting from IFCC SI units to national glycohaemoglobin standardization program (NGSP) units of %

Answer 5

IFCC (mmol/L) = 10.93 (NGSP) - 23.5