Glycosylated Hemoglobin | Medical Algorithm

Are you evaluating a patient with diabetes mellitus?

Yes

Has the patient had a glycosylated hemoglobn test done using an ion exchange resin?

Yes

Does the patient have?

• hemoglobin F?

Yes

• a slow moving hemoglobin (C, D, E, G, S, other)?

Yes

• a fast moving hemoglobin (H, I, J, N)?

Yes

Select an appropriate answer for each finding

Expected level of glucose control

Level of glycosylated hemoglobin

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Is there a discrepancy between level of management and hemoglobin A1c level?

Does the patient have a hemoglobin that affects the ion exhange resin test results?

The pateint's hemoglobin can result in

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Laboratory Tests
Other Testing
- Falsely Elevated Blood Glucose Caused By Maltose with Glucometer Using Glucose Test Strips
- Impact of Color Blindness on Accuracy of Dipstick or Other Tests Involving Color Change
Complications
- Artifactual Elevation of the Serum Total Bilirubin in a Patient with a Paraprotein

Monitoring

Compliance/adherence
- Discrepancy Between Serum Level and Physiologic Marker in Noncompliant Patient

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Monitoring

Specialty

Objective

ICD-10

False Results for Glycosylated Hemoglobin by Ion Exchange Resin Method in Patient with Abnormal Hemoglobin

Purpose: To evaluate a patient with a discrepant glycosylated hemoglobin (hemoglobin A1c) result.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Monitoring

Specialty

Objective

ICD-10