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A simple strategy for screening for glucose intolerance, using glycated haemoglobin, in individuals admitted with

N Gholap1, M J Davies, S A Mostafa

  • 1Department of Health Sciences, University of Leicester, Leicester, UK. ng94@le.ac.uk

Diabetic Medicine : a Journal of the British Diabetic Association
|March 16, 2012
PubMed

Insights

Screening for glucose intolerance after acute coronary syndrome (ACS) is crucial. Using HbA1c testing is a pragmatic approach for early detection and management of glucose intolerance in ACS patients.

Area of Science:

  • Cardiology
  • Endocrinology
  • Diabetes Management

Background:

  • Glucose intolerance is frequently undiagnosed in acute coronary syndrome (ACS) patients.
  • Effective screening strategies for post-ACS glucose intolerance are debated.
  • The World Health Organization recommends HbA1c for diagnosing Type 2 diabetes.

Purpose of the Study:

  • To propose a pragmatic screening algorithm for glucose intolerance in ACS.
  • To advocate for HbA1c as a preferred screening test in acute coronary care.

Main Methods:

  • Literature review of relevant studies and guidelines.
  • Development of a proposed screening algorithm based on HbA1c testing.

Main Results:

  • HbA1c testing offers a pragmatic approach to screening for glucose intolerance.
  • Early detection and management of glucose intolerance can be improved.

Conclusions:

  • Implementing an HbA1c-based screening strategy is recommended for ACS patients.
  • This approach can enhance the early identification and management of glucose intolerance in acute coronary care settings.

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