Glycated haemoglobin - red cell
Last updated: Friday, 04, June, 2010
The item number and fee shown are for Australia only. The fee is the Medicare Schedule Fee.
Laboratories may in some circumstances charge above this fee.
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| Item | Process |
|---|---|
| Specimen | 5 mL blood in lithium heparin tube. |
| Method | Chromatography, electrophoresis, immunoassay. Methods may be specific for HbA1c or may measure total glycohaemoglobin (HbA1). |
| Reference Interval | HbA1c: 3.5 - 6.0% |
| Application | Diabetes mellitus: monitoring of glycaemia over previous three months. |
| Interpretation | The result reflects the average glucose concentration over the life of the red cells although some methods give a falsely high reading if the patient is hyperglycaemic when the blood is collected. HbA1c levels <8% indicate good control. Levels will be lower than appropriate for the degree of diabetic control in the presence of a reticulocytosis. See also Fructosamine. |
| Reference | Krishnamurti U and Steffes MW. Clin Chem 2001; 47(7):1157-65. |
