Adapting to the IFCC system of reporting HbA1c 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(s): Stephen Gough, Susan Manley, Irene Stratton
Edition: 1
Year: 2010
Language: English
Pages: 88
HbA1c in Diabetes: case studies using IFCC units......Page 2
Contents......Page 6
Contributor list......Page 8
Preface......Page 11
Acknowledgements......Page 12
Foreword......Page 13
List of abbreviations......Page 14
Introduction......Page 16
Case studies......Page 42
1: Diagnosis and early management of type 1 diabetes in a young child......Page 44
2: Management of an elderly patient, housebound and living alone......Page 45
313: Gestational diabetes......Page 46
4: Weight loss and improved glycaemic control......Page 47
5: Type 2 diabetes in a child......Page 48
6: Weight reduction......Page 49
7: Improved glycaemic control......Page 50
8: Risk of hypoglycaemia in a patient in a unit for the elderly mentally ill in a nursing home......Page 51
9: Structured education for type 1 diabetes......Page 52
10: Woman with family history of raised cholesterol and diabetes......Page 53
11: Type 1 diabetes in a child......Page 54
12: Poor glucose control with microvascular complications......Page 55
13: Renal failure and cardiovascular disease in an Asian patient......Page 56
14: Type 1 diabetes in a teenage girl concerned about weight......Page 57
15: Glycaemic control through patient empowerment......Page 58
16: Diagnosis and early management of type 2 diabetes in patient with acute coronary syndrome......Page 59
17: Incretin or insulin?......Page 60
18: Type 2 diabetes and pregnancy......Page 61
19: Deterioration of pre-existing diabetes in a patient on low dose quetiapine......Page 62
20: Low HbA1c and risk of hypoglycaemia......Page 63
21: Rapid changes in glycaemic control and retinopathy......Page 64
22: Type 1 diabetes in a young man moving from paediatric to young adult services......Page 65
23: Monitoring glycaemic control: HbA1c or fructosamine......Page 66
24: Prepregnancy and pregnancy in type 1 diabetes......Page 67
25: Maturity onset diabetes of the young, subtype HNF1A (HNF1A-MODY)......Page 68
26: ‘Overtreating’ type 2 diabetes......Page 69
27: Diabetes and an elevated triglyceride concentration......Page 70
28: Multiple therapies leading to bariatric surgery......Page 71
29: Optic neuropathy......Page 72
30: Uncertainty around the estimate of average plasma glucose from HbA1c......Page 73
31: Antipsychotics......Page 74
32: Abnormal liver function in a patient with type 2 diabetes......Page 75
33: Fructosamine in diabetic nephropathy......Page 76
34: Recurrent hypoglycaemia caused by secondary adrenal insufficiency......Page 77
35: A patient with diabetes taking niacin......Page 78
36: Tight glycaemic control leading to nocturnal hypoglycaemia......Page 79
37: Diabetes and iron-deficiency anaemia......Page 80
38: Deterioration in vision after commencing insulin treatment: the early worsening phenomenon......Page 81
39: Type 1 diabetes – worsening glycaemic control on introduction of a pump?......Page 82
40: Monitoring glycaemic control in a patient with sickle cell trait......Page 83
41: Balancing fear of hypoglycaemia with optimal control in pregnancy......Page 84
42: Asian patient with high-risk feet and suboptimal glycaemic control......Page 85
43: Type 2 diabetes and polycystic ovarian syndrome......Page 86
44: Impact of variant haemoglobin AC on HbA1c determination......Page 87
45: Diabetic nephropathy......Page 88
Plates......Page 90
Conversion table......Page 91
