Confusion on HgA1c as a diagnostic tool... - USMLE Forums
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Old 09-04-2012
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Default Confusion on HgA1c as a diagnostic tool...

Hello friends,

Kaplan and Fisher MTB2 CK say that it is not used as daignostic tool and according to WHO and the American Diabetes Association, it can be used as a diagnostic tool and that any value above 6.5% is diagnostic though they said value less than 6.5% does not exclude diabetes.

Few years ago when I was in Canda, I went to the doctor for diabetes check up because I was having thirst and excessive urination and all he did was conduct HgA1c and it become back normal and his conclusion was "you have no diabetes". Please clarify this for me. why would ADA and USMLE have different info? Thanks.
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Old 09-04-2012
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MTB step 3 says yes it is used as diagnostic tool. cool. but still need final confirmation on this friends. Thanks
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Old 09-04-2012
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It wasn't used for diagnosis in the past but it just recently became part of the diagnostic tests... I'm still in med school and this changed occurred not so long ago so I had to read plenty of articles on this.
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Old 09-04-2012
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Yes, it can now definitively be used as a diagnostic test. The protocol has changed since your edition of MTB 2 CK was written and it has been updated in the latest MTB 2 CK (page 125).
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