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A history of HbA1c through Clinical Chemistry and Laboratory Medicine
1Laboratory of Pediatric Biology and Research, American Memorial Hospital, CHU of Reims, Reims, France. pgillery@chu-reims.fr
Insights
Glycated hemoglobin (HbA1c) has evolved from its 1960s discovery to become a gold standard for monitoring diabetes. Its increasing use in clinical practice and for diagnosis highlights its importance in patient care.
Area of Science:
- Clinical Chemistry
- Laboratory Medicine
- Endocrinology
Background:
- Glycated hemoglobin (HbA1c) emerged in the late 1960s as a crucial marker for glycemic control.
- Its clinical application expanded significantly from the 1970s through the 2000s, with international standardization achieved.
- The journal Clinical Chemistry and Laboratory Medicine (CCLM) has extensively featured HbA1c research.
Observation:
- HbA1c has transitioned from a monitoring tool to a diagnostic parameter for diabetes.
- Standardized methods and defined performance criteria have enabled new clinical applications.
- The historical development and clinical utility of HbA1c are well-documented.
Findings:
- The review traces the historical progression of HbA1c measurement and application.
- It highlights the significant role of CCLM in advancing HbA1c research and standardization.
- The evolution underscores HbA1c's established position in diabetes management and diagnostics.
Implications:
- Standardized HbA1c assays facilitate accurate diabetes diagnosis and patient management.
- The historical perspective provides context for current and future uses of HbA1c.
- Continued research, as published in journals like CCLM, will further refine HbA1c's role in healthcare.
Abstract:
HbA(1c) was discovered in the late 1960s and its use as marker of glycemic control has gradually increased over the course of the last four decades. Recognized as the gold standard of diabetic survey, this parameter was successfully implemented in clinical practice in the 1970s and 1980s and internationally standardized in the 1990s and 2000s. The use of standardized and well-controlled methods, with well-defined performance criteria, has recently opened new directions for HbA(1c) use in patient care, e.g., for diabetes diagnosis. Many reports devoted to HbA1c have been published in Clinical Chemistry and Laboratory Medicine (CCLM) journal. This review reminds the major steps of HbA(1c) history, with a special emphasis on the contribution of CCLM in this field.
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