Spurious elevation of hemoglobin A(1c) by hereditary persistence of fetal hemoglobin

Authors
Egede, LE Obah, E Lorch, T Oussova, T
Citation
Le. Egede et al., Spurious elevation of hemoglobin A(1c) by hereditary persistence of fetal hemoglobin, SOUTH MED J, 93(1), 2000, pp. 62-64
Citations number
8
Categorie Soggetti
General & Internal Medicine
Journal title
SOUTHERN MEDICAL JOURNAL
ISSN journal
00384348 → ACNP
Volume
93
Issue
1
Year of publication
2000
Pages
62 - 64
Database
ISI
SICI code
0038-4348(200001)93:1<62:SEOHAB>2.0.ZU;2-S
Abstract
We present the case of a 61-year-old black woman with a diagnosis of type 2 diabetes and a falsely elevated hemoglobin A(1c) (HbA(1c)) due to heredita ry persistence of fetal hemoglobin. Physicians and allied health care profe ssionals are alerted to this potentially significant problem in the diagnos is and management of diabetes mellitus (DM), particularly in the wake of th e Diabetes Complications and Control Trial when "strict" glycemic control a ssessed by HbA(1c) is now the standard of care.