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Troubleshooting Diabetic Patient with Persistently High Hemoglobin A1c

Purpose:

To troubleshoot an apparent discrepancy between a high hemoglobin A1c level and reports of good glucose control in a diabetic.

Specialty:

Endocrinology, Nutrition & Dermatology
Clinical Laboratory

Objective:

failure handling and therapy escalation

ICD-10:

E14.8, E14.9, R73.9

Description:

A patient who claims optimum management for diabetes mellitus may show persistently high hemoglobin A1c levels. These apparently contradictory findings should be investigated to determine the cause.

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