Concordance between fasting plasma glucose and HbA1c in the diagnosis of diabetes in black South African adults: a cross-sectional study.

Alisha N WadeNigel J CrowtherShafika Abrahams-GesselLisa BerkmanJaya A GeorgeF Xavier Gómez-OlivéJennifer Manne-GoehlerJoshua A SalomonRyan G WagnerThomas A GazianoStephen M TollmanAnne R Cappola

Published in: BMJ open (2021)

Concordance was poor between HbA1c and FPG in diagnosis of diabetes in black South Africans, and participants with HbA1c-only diabetes phenotypically resembled normoglycaemic participants. Further work is necessary to determine which of these parameters better predicts diabetes-related morbidities in this population and whether a population-specific HbA1c threshold is necessary.

Keyphrases

type diabetes
cardiovascular disease
glycemic control
blood glucose
risk factors
metabolic syndrome
adipose tissue
weight loss