HbA1c in Diabetes Case studies using IFCC units

by Gough, Stephen; Manley, Susan; Stratton, Irene

• ISBN13: 9781444334449
• ISBN10: 1444334441
• Edition: 1st
• Format: Paperback
• Copyright: 2010-03-29
• Publisher: Wiley-Blackwell

Summary

Adapting to the IFCC system of reporting HbA 1c poses a challenge to generations of health professionals who have learnt the percentage system related to the major clinical trials, in type 1 and type 2 diabetes, the DCCT and UKPDS. This handy paperback illuminates the transition path.Using real-life case studies to illustrate actual clinical situations, the book shows you how to use mmol/mol units in daily practice. Each case study shows the old percentage units alongside the IFCC units for quick comparison. Produced in association with Diabetes UK, this pocketbook helps you work with confidence in the IFCC system.

Author Biography

Stephen Gough is Professor of Medicine and Hon. Consultant Physician, University of Birmingham and University of Birmingham NHS Foundation Trust.? He has had 85 articles published on PubMed.

Susan Manley is a clinical biochemist at the Department of Clinical Biochemistry, University Hospital Birmingham NHSTrust, Birmingham, UK.?She has had 27 articles published on PubMed.

Table of Contents

Contributor list	p. v
Preface	p. viii
Acknowledgements	p. ix
Foreword	p. x
List of abbreviations	p. xi
Introduction	p. 1
Case studies
Diagnosis and early management of type 1 diabetes in a young child	p. 29
Management of an elderly patient, housebound and living alone	p. 30
Gestational diabetes	p. 31
Weight loss and improved glycaemic control	p. 32
Type 2 diabetes in a child	p. 33
Weight reduction	p. 34
Improved glycaemic control	p. 35
Risk of hypoglycaemia in a patient in a unit for the elderly mentally ill in a nursing home	p. 36
Structured education for type 1 diabetes	p. 37
Woman with family history of raised cholesterol and diabetes	p. 38
Type 1 diabetes in a child	p. 39
Poor glucose control with microvascular complications	p. 40
Renal failure and cardiovascular disease in an Asian patient	p. 41
Type 1 diabetes in a teenage girl concerned about weight	p. 42
Glycaemic control through patient empowerment	p. 43
Diagnosis and early management of type 2 diabetes in patient with acute coronary syndrome	p. 44
Incretin or insulin?	p. 45
Type 2 diabetes and pregnancy	p. 46
Deterioration of pre-existing diabetes in a patient on low dose quetiapine	p. 47
Low HbA1c and risk of hypoglycaemia	p. 48
Rapid changes in glycaemic control and retinopathy	p. 49
Type 1 diabetes in a young man moving from paediatric to young adult services	p. 50
Monitoring glycaemic control: HbA1c or fructosamine	p. 51
Prepregnancy and pregnancy in type 1 diabetes	p. 52
Maturity onset diabetes of the young, subtype HNF1A (HNF1A-MODY)	p. 53
'Overtreating' type 2 diabetes	p. 54
Diabetes and an elevated triglyceride concentration	p. 55
Multiple therapies leading to bariatric surgery	p. 56
Optic neuropathy	p. 57
Uncertainty around the estimate of average plasma glucose from HbA1c	p. 58
Antipsychotics	p. 59
Abnormal liver function in a patient with type 2 diabetes	p. 60
Fructosamine in diabetic nephropathy	p. 61
Recurrent hypoglycaemia caused by secondary adrenal insufficiency	p. 62
A patient with diabetes taking niacin	p. 63
Tight glycaemic control leading to nocturnal hypoglycaemia	p. 64
Diabetes and iron-deficiency anaemia	p. 65
Deterioration in vision after commencing insulin treatment: the early worsening phenomenon	p. 66
Type 1 diabetes - worsening glycaemic control on introduction of a pump?	p. 67
Monitoring glycaemic control in a patient with sickle cell trait	p. 68
Balancing fear of hypoglycaemia with optimal control in pregnancy	p. 69
Asian patient with high-risk feet and suboptimal glycaemic control	p. 70
Type 2 diabetes and polycystic ovarian syndrome	p. 71
Impact of variant haemoglobin AC on HbA1c determination	p. 72
Diabetic nephropathy	p. 73
Colour plates related to case studies 29 and 38	p. 75
Thermometer relating HbA1c to the complications of type 2 diabetes	p. 76
Conversion table for HbA1c from IFCC to DCCT-aligned units	p. 76
Table of Contents provided by Ingram. All Rights Reserved.