Tests for Monitoring Glycemic Control

Question 1

most commonly analyzed POCT devices at home or at the patient’s bedside

Answer 1

whole blood glucose

Question 2

whole blood glucose ADA reference values

pre-prandial:
post-prandial:

Answer 2

pre-prandial: 70-130 mg/dL
post-prandial: <180 mg/dL

Question 3

IRREVERSIBLY attached to one or both N-terminal valines of the B-chains

Answer 3

Glycated Hemoglobin/ HbA1c

Question 4

HbA1c reflects average blood glucose levels over the past ___

Answer 4

2-3 months

Question 5

↓ RBC lifespan (ex. hemolytic anemia, hemoglobinopathies)

Answer 5

false ↓ HbA1c

Question 6

HbA1c ADA reference values

glycemic goal:
poor control:

Answer 6

glycemic goal: <7%
poor control: >12%

Question 7

used to asses glycemic control over the past 2-3 weeks (half-life of albumin) in cases when HbA1c is unreliable

Answer 7

Fructosamine

Question 8

Fructosamine reference values

Answer 8

205-285 umol/L

Question 9

early indicator of diabetic nephropathy

Answer 9

microalbuminuria

Question 10

persistent albuminuria in 2/3 urine collections of ___ug/min, ____mg/24h

Answer 10

20-200 ug/min
30-300 mg/24h

Question 11

albumin-creatine ratio of ___ug/mg or 3.5-30 mg/mmol within 3-6mos period

Answer 11

30-300 ug/mg