This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
To the Editor.—
The glycosylated hemoglobin (Hb A1) test results used to estimate the prevalence of unrecognized diabetes among patients admitted to a coronary care unit are of interest; however, I was a bit stressed by the conclusions of Norman G. Soler, MD, PhD, and Stuart Frank, MD (1981;246:1690). The word practical is used, and I question this for several reasons. First, no mention is ever made of therapy decisions made at discharge (or at a three-month follow-up) based on elevated Hb A1 values. Second, although the authors state "An FPG [fasting plasma glucose] level of more than 140 mg/dL following an acute MI, in the absence of an elevated Hb A1 value, indicated severe stress rather than previously unrecognized diabetes," I do not find data to support this. Specifically, there is no mention of follow-up FPG and Hb A, levels in the 21 patients that fall into this
Webb RF. Glycosylated Hemoglobin Measurements and Diabetes. JAMA. 1982;247(12):1696. doi:10.1001/jama.1982.03320370014011
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: