How should you assess glycemic control if the hemoglobin A1c is inaccurate or uninterpretable?

[摘要] For adult outpatients with type 2 diabetes mellitus, hemoglobin A1c is the standard test used to gauge overall glycemic control during the previous 2 to 3 months and to titrate antidiabetic medications. But hemoglobin A1c does not provide an accurate assessment of frequency or severity of hypoglycemic events. Also, in some instances it may not truly represent glucose control, reflecting an average of high and low blood sugar values, or may not be reportable because of abnormal hemoglobin.

[学科分类] 卫生学