TY - JOUR
T1 - Effect on hemoglobin A1 of rapid normalization of glycemia with an artificial endocrine pancreas
AU - Service, F. J.
AU - Fairbanks, V. F.
AU - Rizza, R.
N1 - Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 1981
Y1 - 1981
N2 - Six insulin-requiring chronically hyperglycemic diabetic patients underwent glucose control for 72 hours with an artificial endocrine pancreas, the Biostator Glucose Controller. Euglycemia was achieved within 4 hours and was maintained (110 ± 2 mg/dl) thereafter. The concentration of hemoglobin A1 (HbA1) was elevated, at 12.5 ± 0.6%, at the initiation of Biostator treatment. Decreases in HbA, of 0.5 ± 0.1% (P<0.01) were observed within 4 hours of Biostator therapy. Over the first 16 hours, the slope of the decrease in HbA1 was -0.068 ± 0.022% per hour; thereafter, the slope was less steep, -0.018 ± 0.004% per hour (P<0.01). After 72 hours, decreases in HbA1 of 1.8 ± 0.4% (P<0.01) were observed. The current concept of HbA1 as an indication of integrated glycemia over weeks and months requires modification to account for a small, rapidly reversible component. Interpretation of the value of HbA1 when measured by a kit method must take into consideration that small changes in HbA1 may occur over a few hours as a result of a large and persistent change in glycemia.
AB - Six insulin-requiring chronically hyperglycemic diabetic patients underwent glucose control for 72 hours with an artificial endocrine pancreas, the Biostator Glucose Controller. Euglycemia was achieved within 4 hours and was maintained (110 ± 2 mg/dl) thereafter. The concentration of hemoglobin A1 (HbA1) was elevated, at 12.5 ± 0.6%, at the initiation of Biostator treatment. Decreases in HbA, of 0.5 ± 0.1% (P<0.01) were observed within 4 hours of Biostator therapy. Over the first 16 hours, the slope of the decrease in HbA1 was -0.068 ± 0.022% per hour; thereafter, the slope was less steep, -0.018 ± 0.004% per hour (P<0.01). After 72 hours, decreases in HbA1 of 1.8 ± 0.4% (P<0.01) were observed. The current concept of HbA1 as an indication of integrated glycemia over weeks and months requires modification to account for a small, rapidly reversible component. Interpretation of the value of HbA1 when measured by a kit method must take into consideration that small changes in HbA1 may occur over a few hours as a result of a large and persistent change in glycemia.
UR - http://www.scopus.com/inward/record.url?scp=0019732855&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0019732855&partnerID=8YFLogxK
M3 - Article
C2 - 7230900
AN - SCOPUS:0019732855
SN - 0025-6196
VL - 56
SP - 377
EP - 380
JO - Mayo Clinic Proceedings
JF - Mayo Clinic Proceedings
IS - 6
ER -