Diabetes Self-Management Blog

Potential A1C Test Alternative
According to a new study published in the journal The Lancet Diabetes & Endocrinology, measurements of substances known as fructosamine and glycated albumin might be useful for predicting a person’s risk of developing diabetes complications.

The A1C test measures blood glucose control over the previous 2–3 months, but the results of the test are not valid in people with conditions such as anemia, kidney disease, hemoglobinopathies, and HIV. To determine whether fructosamine and glycated albumin, markers of glucose control over 2–4 weeks, might be useful for predicting diabetes complications in these populations, researchers took blood samples from over 12,000 people in the Atherosclerosis Risk in Communities (ARIC) Study.

“We compared the associations of [A1C], fructosamine, and glycated albumin with two of the most important clinical outcomes related to diabetes: retinopathy (eye disease) and kidney disease. We found that fructosamine and glycated albumin were strongly associated with retinopathy and kidney disease. [T]hese associations were similar to those observed for [A1C] with these outcomes,” noted lead study author Elizabeth Selvin, PhD, MPH.

According to the researchers, these results suggest that fructosamine and glycated albumin may be useful alternatives for monitoring long-term blood glucose control in people for whom the A1C test is invalid. “Further studies are need to understand the value of these tests in the clinic,” said Selvin.

For more information, read the press release from Johns Hopkins Bloomberg School of Public Health or see the study’s abstract in the journal The Lancet Diabetes & Endocrinology. And to learn more about the A1C test, click here.

Glucose Meter Recall
Nipro Diagnostics has launched a voluntary recall and replacement of several hundred blood glucose meters that incorrectly display results in mmol/L, rather than the correct mg/dl measure. This incorrect, factory-set unit of measure can cause users to misread their results as lower than expected.

The recall involves 501 TRUEbalance meters and 105 TRUEtrack meters distributed in the United States between September 2008 and May 2013. Consumers using either of these brands of meter are encouraged to obtain their meter’s serial number from the back of the device and contact Nipro Diagnostics here or Stericycle at (866) 236-4518 to determine whether their meter is affected by the recall.

Replacement meters will be provided to customers at no charge, according to Nipro.

For more information, click here.

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