Glycated Hemoglobin - Measuring A1C

Measuring A1C

There are a number of techniques used to measure A1C.

Laboratories use:

  • high-performance liquid chromatography (HPLC): The HbA1c result is calculated as a ratio to total hemoglobin by using a chromatogram.
  • immunoassay
  • Enzymatic
  • Capillary Electrophoresis

Point of care (e.g., doctor's surgery) devices use:

  • immunoassay
  • boronate affinity chromatography

In the United States, A1C testing laboratories are certified by the National Glycohemoglobin Standardization Program (NGSP) to standardise them against the results of the 1993 Diabetes Control and Complications Trial (DCCT). There is an additional percentage scale, Mono S, that is in use by Japan and Sweden.

Read more about this topic:  Glycated Hemoglobin

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