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The Fallacy of Average: How Using HbA1c Alone to Assess Glycemic Control Can Be Misleading
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<blockquote data-quote="tim2000s" data-source="post: 1590394" data-attributes="member: 30007"><p>On the topic of the 50 year medallists study, I think it's a Joslin study, and has been going on for some time. This is one of the publications: <a href="https://www.ncbi.nlm.nih.gov/pubmed/20699420" target="_blank">https://www.ncbi.nlm.nih.gov/pubmed/20699420</a></p><p></p><p>There are quite a few others linked to it.</p><p></p><p>Answering the question on Hba1C - the reason this is used is:</p><ol> <li data-xf-list-type="ol">The DCCT trial broadly shows that across a population, Hba1C has a direct correlation with the risk of complications, in spite of it's limitations.</li> <li data-xf-list-type="ol">The alternative methods of providing an indication of overall "diabetes health" are all rather expensive, and as a result, nowhere wants to pay for them. Imagine CGM for all T1s in order to use GLycaemic variation measures. 1,000s of times more expensive than a three monthly hba1C.</li> </ol></blockquote><p></p>
[QUOTE="tim2000s, post: 1590394, member: 30007"] On the topic of the 50 year medallists study, I think it's a Joslin study, and has been going on for some time. This is one of the publications: [URL]https://www.ncbi.nlm.nih.gov/pubmed/20699420[/URL] There are quite a few others linked to it. Answering the question on Hba1C - the reason this is used is: [LIST=1] [*]The DCCT trial broadly shows that across a population, Hba1C has a direct correlation with the risk of complications, in spite of it's limitations. [*]The alternative methods of providing an indication of overall "diabetes health" are all rather expensive, and as a result, nowhere wants to pay for them. Imagine CGM for all T1s in order to use GLycaemic variation measures. 1,000s of times more expensive than a three monthly hba1C. [/LIST] [/QUOTE]
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