Cited by 121Dialysis and Renal Disease ManagementDiabetes Management and ResearchAdvanced Glycation End Products research

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Comparison of Glycated Albumin and Hemoglobin A 1c Concentrations in Diabetic Subjects on Peritoneal and Hemodialysis

Freedman, Barry I., Shenoy, Rajeev N., Planer, Jonathan A., Clay, Kimberly D., Shihabi, Zak K., Burkart, John M., Cardona, Cesar Y., Andries, Lilian, Peacock, Todd P., Sabio, Hernan, Byers, Joyce R., Russell, Gregory B., Bleyer, Anthony J.·2010·Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis

DOI 10.3747/pdi.2008.00243

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Abstract

Background Relative to hemoglobin A(1c) (HbA(1c)), percentage of glycated albumin (GA%) more accurately reflects recent glycemic control in diabetic hemodialysis (HD) patients. Methods To determine the accuracy of glycemic assays in a larger sample including patients on peritoneal dialysis (PD), HbA(1c) and GA% were measured in 519 diabetic subjects: 55 on PD, 415 on HD, and 49 non-nephropathy controls. Results Mean +/- SD serum glucose levels were higher in HD and PD patients relative to non-nephropathy controls (HD 169.7 +/- 62 mg/dL, PD 168.6 +/- 66 mg/dL, controls 146.1 +/- 66 mg/dL; p = 0.03 HD vs controls, p = 0.13 PD vs controls). GA% was also higher in HD and PD patients (HD 20.6% +/- 8.0%, PD 19.0% +/- 5.7%, controls 15.7% +/- 7.7%; p Conclusions The relationship between HbA(1c) and GA% differs in diabetic patients with end-stage renal disease who perform either PD or HD compared to those without nephropathy. HbA(1c) significantly underestimates glycemic control in peritoneal and hemodialysis patients relative to GA%.

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“Although HbS and HbC appear to bind glucose more avidly than HbA and could therefore increase HbA1c levels (12), ethnic differences in GA, HbA1c, and serum glucose relationships among diabetic ESRD patients appear unlikely to be fully explained by carriage of HbS or HbC.”
Background
Glycated Albumin Is a Better Glycemic Indicator than Glycated Hemoglobin Values in Hemodialysis Patients with Diabetes
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Authors: Freedman, B. I., Shenoy, R. N., Planer, J. A., Clay, K. D., Shihabi, Z. K., Burkart, J. M., Cardona, C. Y., Andries, L., Peacock, T. P., Sabio, H., Byers, J. R., Russell, G. B., & Bleyer, A. J.
Affiliations: Wake Forest University Health Sciences (US)
ORCID: Freedman, Barry I.
Russell, Gregory B.
Bleyer, Anthony J.
Venue: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
Publisher: SAGE Publications
Published: 2010-01
Volume: 30
Issue: 1
Pages: 72-79
ISSN: 0896-8608 (ISSN-L)
1718-4304
DOI: 10.3747/pdi.2008.00243
OpenAlex: W2126851999
Cited by: 121
References: 14
Citations by year: 2026: 7 · 2025: 3 · 2024: 1 · 2023: 2 · 2022: 4 · 2021: 2 · 2020: 9 · 2019: 2 · 2018: 5 · 2017: 9 · 2016: 9 · 2015: 13 · 2014: 15 · 2013: 14 · 2012: 13
FWCI: 9.77
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Peritoneal Dialysis International (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Advanced Glycation End Products research
Keywords: glycated albumin, HbA1c, glycemic control, diabetes mellitus, end-stage renal disease, peritoneal dialysis, hemodialysis, serum glucose, glycemic markers, diabetic nephropathy
MeSH terms: Glycated Serum Albumin, Diabetes Mellitus, Female, Renal Dialysis, Glycated Hemoglobin, Humans, Kidney Failure, Chronic, Male, Middle Aged, Peritoneal Dialysis, Serum Albumin, Glycation End Products, Advanced, Diabetes Complications

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Comparison of Glycated Albumin and Hemoglobin A 1c Concentrations in Diabetic Subjects on Peritoneal and Hemodialysis

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