Point-of-Care Hemoglobin A1c.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 31513231.
- Also identified by DOI 10.1001/jama.2019.14063 and PMC identifier 7065945.
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Abstract
A 57-year-old white man with obesity and hypertension presents for a primary care visit, during which he expresses concern about having diabetes. He reports no symptoms of hyperglycemia, such as frequent urination, increased thirst, fatigue, or visual changes, and had no known family history of diabetes. A series of blood tests had recently been obtained (Table). His body mass index (BMI) is 33.9 and his blood pressure is 160/90 mm Hg. The patient wants to know if a test could be done in the office to determine if he has diabetes. [Table: see text] WHAT WOULD YOU DO NEXT? A. Perform a laboratory-based glucose test to determine the patient’s glycemic status. B. Perform a point-of-care (POC) hemoglobin A<sub>1c</sub> (HbA<sub>1c</sub>) test via fingerstick to determine the patient’s glycemic status. C. Perform a laboratory-based HbA<sub>1c</sub> test to determine the patient’s glycemic status. D. Do not perform glycemic testing because it is not indicated for this patient.