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A1C and Dr. Mirkin

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Dear Dr. Mirkin: Is there a good screening test to tell if I'm likely

to become diabetic?

The best predictor of diabetes is a test called

Hemoglobin A1C (HBA1C), which measures the amount of sugar

stuck on cell membranes. At the American Diabetes Association

meeting in June 2006, Dr. Baginsky of Santa ,

California showed that HBA1C can be used not only to identify

people who already have diabetes, but also as a screening test

to predict which people are likely to develop diabetes in the

future. This allows doctors to treat pre-diabetes before people

suffer their heart attacks, strokes and other side effects that can

be the first sign that the person has diabetes.

He also showed that people who have HBA1Cs above

5.8 have a 92 percent chance of being diabetic as determined by

a fasting glucose tolerance test. The HBA1C test does not

require fasting and can be done with only one draw of blood,

while the glucose tolerance test takes seven. It is less expensive

and has the potential to save a lot of lives by getting diabetics

into treatment earlier. See

http://www.drmirkin.com/diabetes/1555.html

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