What are the ADA and EASD recommendations for the use of HbA1c testing for the diagnosis of pediatric type 1 diabetes mellitus (DM)?

Updated: Jul 03, 2019
  • Author: William H Lamb, MD, MBBS, FRCP(Edin), FRCP, FRCPCH; Chief Editor: Sasigarn A Bowden, MD  more...
  • Print
Answer

An international expert committee composed of appointed representatives of the American Diabetes Association, the European Association for the Study of Diabetes, and others recommended HbA1c assay for diagnosing diabetes mellitus. [3] The committee recommended that an HbA1c level of 6.5% or higher be considered indicative of diabetes, with diagnostic confirmation being provided through repeat testing (unless clinical symptoms are present and the glucose level is >200 mg/dL). Glucose measurement should remain the choice for diagnosing pregnant women or be used if HbA1c assay is unavailable. The committee cited the following advantages of HbA1c testing over glucose measurement:

  • Captures long-term glucose exposure

  • Has less biologic variability

  • Does not require fasting or timed samples

  • Is currently used to guide management decisions


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!