Advantages of A1C testing compared with FPG or 2HPG for the diagnosis of diabetes
Standardized and aligned to the DCCT/UKPDS; measurement of glucose is less well standardized
Better index of overall glycemic exposure and risk for long-term complications
Substantially less biologic variability
Substantially less preanalytic instability
No need for fasting or timed samples
Relatively unaffected by acute (e.g., stress or illness related) perturbations in glucose levels
Currently used to guide management and adjust therapy
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