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Is HbA1c a reliable indicator of diabetes control?
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<blockquote data-quote="ButtterflyLady" data-source="post: 957906" data-attributes="member: 43498"><p>AFAIK, the WHO says HbA1c should be the standard test (for screening, at least) unless there are clinical reasons why not in a specific person. Haemochromatosis rates are higher in Celtic populations but I don't know about other anomalies. The WHO has to make recommendations for all ethnic groups. I haven't looked at their detailed statements but perhaps they mention these issues. In general, if policy makers are evaluating two options that appear to have similar reliability in most people, then they will go for the cheaper option, because there is always something else that needs the money. It doesn't make sense to use a more expensive test for everyone when the number of people needing that test is small. I think the trick is to identify which people need the other test.</p></blockquote><p></p>
[QUOTE="ButtterflyLady, post: 957906, member: 43498"] AFAIK, the WHO says HbA1c should be the standard test (for screening, at least) unless there are clinical reasons why not in a specific person. Haemochromatosis rates are higher in Celtic populations but I don't know about other anomalies. The WHO has to make recommendations for all ethnic groups. I haven't looked at their detailed statements but perhaps they mention these issues. In general, if policy makers are evaluating two options that appear to have similar reliability in most people, then they will go for the cheaper option, because there is always something else that needs the money. It doesn't make sense to use a more expensive test for everyone when the number of people needing that test is small. I think the trick is to identify which people need the other test. [/QUOTE]
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