Resumen de When the Blood Glucose and the HbA^sub 1c^ Don't Match: Turning Uncertainty Into Opportunity

Robert M. Cohen, Christopher J. Lindsell

• [...]wide variation reinforces the notion that HbAic and blood glucose are not exactly equivalent. [...]it raises the question of whether a binary cut point for HbAic in the diagnosis of diabetes, such as 6.5% (2), is an adequate representation of blood glucose and suggests that reliance only on HbAlc could miss persons with diabetes and falsely diagnose those without (3,4). [...]we should consider the multiple measures as containing complementary information, with each telling us something about the patient. [...]let us consider agreement and conflict between measurements as an opportunity to better understand pathophysiology and raise the confidence we can have in individualizing treatment for all people with diabetes.