Navigation Links
Racial differences in diabetes diagnostic thresholds
Date:8/6/2012

BOSTON Healthcare providers should take into account differences among racial groups when using hemoglobin A1C levels to diagnose and monitor diabetes, new research from Beth Israel Deaconess Medical Center suggests.

In a study published Aug. 7 in the Annals of Internal Medicine, researchers analyzed National Health and Nutrition Survey data from 2005 to 2008 to examine the association between hemoglobin A1C levels in black and white adults and the risk for retinopathy, an eye complication of diabetes that is detectable early in the disease and can ultimately lead to blindness.

"There have been several studies indicating that hemoglobin A1C levels are consistently higher in blacks than in whites, even though underlying blood sugar levels are similar," said lead author Yusuke Tsugawa, MD, MPH, a primary care fellow at Beth Israel Deaconess Medical Center. "We looked at the data to determine if a higher diagnostic cutoff of A1C level should be used to diagnose diabetes in blacks than in whites, or if there should be a single cutoff for all races."

Diabetes has been historically diagnosed based on blood glucose tests, but in 2010 the International Expert Committee recommended adding hemoglobin A1C because it is a more reliable test that reflects average blood sugar over the past two to three months.

In line with the Expert Committee's recommendation, the World Health Organization and the American Diabetes Association subsequently adopted a hemoglobin A1C level of 6.5 percent or higher as a new diagnostic criterion for diabetes. For people who do not have diabetes, a normal hemoglobin A1C level is around 5 percent.

Given the evidence of naturally higher A1C levels in black people, the researchers expected to also find a delayed development of retinopathy in blacks compared to whites. Instead, the data showed that the A1C level where the risk of retinopathy begins to increase was paradoxically lower in black p
'/>"/>

Contact: Kelly Lawman
klawman@bidmc.harvard.edu
617-667-7305
Beth Israel Deaconess Medical Center
Source:Eurekalert

Page: 1 2 3

Related medicine news :

1. Black gay men worldwide 15 times more likely to have HIV and racial disparity
2. New CDC study on racial disparities in infant mortality published in Journal of Womens Health
3. Multiracial youths show similar vulnerability to peer pressure as whites
4. Racial Gap in Kids Dental Care Vanishing: Study
5. Racial make-up of community impacts obesity risk
6. UC Irvine study finds racial, economic disparities in ovarian cancer care, survival
7. Mayo Clinic study links healthy muscle mass to healthy bones, finds differences by gender
8. Study finds significant skull differences between closely linked groups
9. More Evidence That Exercise Helps Fight Diabetes
10. Obesity in type 2 diabetes: Recommendations from guidelines are largely consistent
11. Weight Control Can Cut Womens Diabetes Risk, Study Shows
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/2/2014)... 02, 2014 There has been a ... demand has resulted in an increase in the number ... different services at very affordable prices. A leading review ... professional SEO hosting companies and announced that InMotion is ... want to buy hosting products. , InMotion ( http://www.best-cheap-hosting-usa.com/go/InMotion/ ...
(Date:10/2/2014)... Australia (PRWEB) October 02, 2014 ... markets, organic food is becoming increasingly popular with ... Organic Livestock and Poultry Farming industry in ... “the popularity of organic meat has surged over ... and expansion at the farming level.” Over the ...
(Date:10/2/2014)... Genes may interact with stress to trigger heart disease in ... occurs in about 13 percent of people, but only in ... reduce their heart disease risk through simple measures such as ... University researchers said. The study authors analyzed genetic data ... variations in the EBF1 gene and higher levels of central ...
(Date:10/2/2014)... HealthDay Reporter WEDNESDAY, Oct. 1, ... the stops to rescue surgical patients in crisis are ... such heroism is questionable, a new study suggests. ... saving elderly patients with life-threatening complications after major surgery, ... senior author Dr. Amir Ghaferi. He is assistant professor ...
(Date:10/1/2014)... scientists has shown that more than 80 per cent ... , The study found that medicines called ,JAK inhibitors, ... mutation that is present in more than 80 per ... used, or are in clinical trials, for diseases including ... Bowel cancer is the second-most common cancer in Australia ...
Breaking Medicine News(10 mins):Health News:Organic Livestock and Poultry Farming in Australia Industry Market Research Report Now Available from IBISWorld 2Health News:Organic Livestock and Poultry Farming in Australia Industry Market Research Report Now Available from IBISWorld 3Health News:Organic Livestock and Poultry Farming in Australia Industry Market Research Report Now Available from IBISWorld 4Health News:Genes May Make Some More Prone to Heart Disease When Under Stress 2Health News:'High-Intensity' Hospitals Save More Elderly After Surgery: Study 2Health News:'High-Intensity' Hospitals Save More Elderly After Surgery: Study 3Health News:Eighty percent of bowel cancers halted with existing medicines 2
... 2007 -- Teachers are among the most important influences ... emphasis has been placed on examining the potential role ... promotion efforts, according to a study conducted by researchers ... published in the Journal of School Health. The study ...
... Researchers at Oregon Health & Science University have ... a study that suggests new strategies may be in ... The research is published in the current edition of ... The research focused on an important component of the ...
... in the 1990-1991 Persian Gulf War were 25 percent more ... same era who were not deployed, but were no more ... according to a study appearing in the December 2007 issue ... of Gulf War illnesses, we were surprised that we did ...
... 17 In an effort to,help prepare ... Corporation and the United Nations Environment Programme,s ... a new World,Environment Day partnership and launched ... Jersey schools., The International Children,s Painting ...
... 17 AmeriMark Direct,a direct marketer of women,s ... it has acquired New Jersey-based,direct-marketer Dr. Leonard,s Healthcare ... generate combined sales in,excess of $425 million. The ... over 55 years of age, one of the ...
... of trips to their GP under a new scheme that ... , The electronic transfer of repeat prescriptions between general practices ... in a bid to streamline the system and make it ... cutting down on prescription errors. , And now the scheme ...
Cached Medicine News:Health News:Teachers play critical role in adolescent health promotion efforts 2Health News:Teachers play critical role in adolescent health promotion efforts 3Health News:OHSU research suggests new strategy for protecting aging Americans against infectious disease 2Health News:Where vets served affects frequency of ER visits but not hospital stays 2Health News:New Bayer, United Nations Partnership Brings International Environment and Art Competition to Northern New Jersey Elementary and Middle Schools 2Health News:New Bayer, United Nations Partnership Brings International Environment and Art Competition to Northern New Jersey Elementary and Middle Schools 3Health News:New Bayer, United Nations Partnership Brings International Environment and Art Competition to Northern New Jersey Elementary and Middle Schools 4Health News:AmeriMark Direct Acquires Dr. Leonard's Healthcare 2Health News:AmeriMark Direct Acquires Dr. Leonard's Healthcare 3Health News:Prescription for an electronic revolution? 2Health News:Prescription for an electronic revolution? 3
(Date:10/2/2014)... 1, 2014 The global high content screening ... the ,Threat of Obsolescence, wherein technologies as well as ... and biotechnology companies as well as academic and government ... as a powerful research tool in drug discovery. The ... in the high content screening market. In high content ...
(Date:10/1/2014)... , Oct. 1, 2014  Dyadic International, Inc. ... patented and proprietary technology used to develop and ... bio-based chemicals, biopharmaceuticals, and industrial enzymes industries, today ... from Abengoa Bioenergy for commercial scale production of ... into ethanol, developed under Abengoa,s license agreement with ...
(Date:10/1/2014)... SAN DIEGO , Oct. 1, 2014 /PRNewswire/ ... cell-free molecular diagnostics, announced today that Eli ... Sloan Kettering Cancer Center (MSK), presented clinical data ... Trovagene,s precision cancer monitoring platform for the determination ... from a liquid biopsy.  The results were presented ...
Breaking Medicine Technology:High Content Screening Market by Instruments (Cell Imaging and Analysis System), by Applications (Primary and Secondary Screening, Target Identification and Validation, Toxicity Studies, Compound Profiling), Software & Services - Global Forecasts to 2High Content Screening Market by Instruments (Cell Imaging and Analysis System), by Applications (Primary and Secondary Screening, Target Identification and Validation, Toxicity Studies, Compound Profiling), Software & Services - Global Forecasts to 3Dyadic International Reports Licensing Payment For Commercial-Scale Production Of C1-Based Cellulase Enzymes 2Dyadic International Reports Licensing Payment For Commercial-Scale Production Of C1-Based Cellulase Enzymes 3Clinical Performance of Trovagene's Precision Cancer Monitoring Platform Presented at Second Annual International ECD Medical Symposium 2Clinical Performance of Trovagene's Precision Cancer Monitoring Platform Presented at Second Annual International ECD Medical Symposium 3Clinical Performance of Trovagene's Precision Cancer Monitoring Platform Presented at Second Annual International ECD Medical Symposium 4
... Laboratories is a national reference laboratory and ... and development. ARUP offers an extensive test ... tests in clinical and anatomic pathology. Owned ... clients include more than half of the ...
... is a national reference laboratory and a ... development. ARUP offers an extensive test menu ... in clinical and anatomic pathology. Owned by ... include more than half of the nation's ...
... a national reference laboratory and a worldwide ... ARUP offers an extensive test menu of ... clinical and anatomic pathology. Owned by the ... more than half of the nation's university ...
... Laboratories is a national reference laboratory and ... and development. ARUP offers an extensive test ... tests in clinical and anatomic pathology. Owned ... clients include more than half of the ...
Medicine Products: