Comparison of A1C and fasting glucose criteria to diagnose diabetes among U.S. adults.

Abstract:

OBJECTIVE:To compare A1C and fasting glucose for the diagnosis of diabetes among U.S. adults. RESEARCH DESIGN AND METHODS:This study included 6,890 adults (> or =20 years of age) from the 1999-2006 National Health and Nutrition Examination Survey without a self-reported history of diabetes who had fasted > or =9 h. A1C > or =6.5% and fasting glucose > or =126 mg/dl were used, separately, to define diabetes. RESULTS:Overall, 1.8% of U.S. adults had A1C > or =6.5% and fasting glucose > or =126 mg/dl, 0.5% had A1C > or =6.5% and fasting glucose <126 mg/dl, and 1.8% had A1C <6.5% and fasting glucose > or =126 mg/dl. Compared with individuals with A1C <6.5% and fasting glucose > or =126 mg/dl, individuals with A1C > or =6.5% and fasting glucose <126 mg/dl were younger, more likely to be non-Hispanic black, had lower Hb levels, and had higher C-reactive protein. CONCLUSIONS:A1C > or =6.5% demonstrates reasonable agreement with fasting glucose for diagnosing diabetes among U.S. adults.

journal_name

Diabetes Care

journal_title

Diabetes care

authors

Carson AP,Reynolds K,Fonseca VA,Muntner P

doi

10.2337/dc09-1227

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

95-7

issue

1

eissn

0149-5992

issn

1935-5548

pii

dc09-1227

journal_volume

33

pub_type

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