Rentfro Anne Rath, McEwen Marylyn, Ritter Leslie
The University of Arizona, College of Nursing, Tucson, Arizona.
Diabetes Educ. 2009 Jul-Aug;35(4):581, 585-6, 588-90 passim. doi: 10.1177/0145721709338222.
The purpose of this article is to facilitate translation of the Consensus Statement to practice for diabetes educators and other professionals who contribute to the care of individuals with diabetes.
The 2007 Consensus Statement from the American Diabetes Association (ADA), European Association for the Study of Diabetes (EASD), International Federation of Clinical Chemistry and Laboratory Medicine (IFCC), and International Diabetes Federation (IDF) called for the standardization of glycated hemoglobin measurement in reporting and use of average glucose values in clinical practice.
Conversion of glycated hemoglobin percentage to average blood glucose was anchored historically in early laboratory techniques linked to disease outcomes rather than to definitive laboratory standardization. Recently, the A1C-Derived Average Glucose (ADAG) study demonstrated that A1C values can be accurately expressed as estimated average glucose (eAG) and endorsed eAG as the best way to standardize the expression of laboratory values of glycated hemoglobin.
Adoption of the 2007 Consensus Statement will influence clinical practice and decision making and subsequently influence self-management for individuals with diabetes.
本文旨在帮助糖尿病教育工作者及其他参与糖尿病患者护理工作的专业人员，将共识声明应用于实际工作中。
美国糖尿病协会（ADA）、欧洲糖尿病研究协会（EASD）、国际临床化学和检验医学联合会（IFCC）以及国际糖尿病联盟（IDF）2007年的共识声明呼吁，在临床实践中糖化血红蛋白测量的报告以及平均血糖值的使用应实现标准化。
糖化血红蛋白百分比向平均血糖的转换，在历史上是基于早期与疾病结果相关的实验室技术，而非明确的实验室标准化。最近，糖化血红蛋白衍生平均血糖（ADAG）研究表明，糖化血红蛋白值可准确表示为估算平均血糖（eAG），并认可eAG是糖化血红蛋白实验室值标准化表达的最佳方式。
采用2007年共识声明将影响临床实践和决策，进而影响糖尿病患者的自我管理。
