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Whole Blood Donation Affects the Interpretation of Hemoglobin A1c.
- Source :
- PLoS ONE; 1/24/2017, Vol. 12 Issue 1, p1-12, 12p
- Publication Year :
- 2017
-
Abstract
- Introduction: Several factors, including changed dynamics of erythrocyte formation and degradation, can influence the degree of hemoglobin A<subscript>1c</subscript> (HbA<subscript>1c</subscript>) formation thereby affecting its use in monitoring diabetes. This study determines the influence of whole blood donation on HbA<subscript>1c</subscript> in both non-diabetic blood donors and blood donors with type 2 diabetes. Methods: In this observational study, 23 non-diabetic blood donors and 21 blood donors with type 2 diabetes donated 475 mL whole blood and were followed prospectively for nine weeks. Each week blood samples were collected and analyzed for changes in HbA<subscript>1c</subscript> using three secondary reference measurement procedures. Results: Twelve non-diabetic blood donors (52.2%) and 10 (58.8%) blood donors with type 2 diabetes had a significant reduction in HbA<subscript>1c</subscript> following blood donation (reduction >-4.28%, P < 0.05). All non-diabetic blood donors with a normal ferritin concentration predonation had a significant reduction in HbA<subscript>1c</subscript>. In the non-diabetic group the maximum reduction was -11.9%, in the type 2 diabetes group -12.0%. When eligible to donate again, 52.2% of the non-diabetic blood donors and 41.2% of the blood donors with type 2 diabetes had HbA<subscript>1c</subscript> concentrations significantly lower compared to their predonation concentration (reduction >-4.28%, P < 0.05). Conclusion: Patients with type 2 diabetes contributing to whole blood donation programs can be at risk of falsely lowered HbA<subscript>1c</subscript>. This could lead to a wrong interpretation of their glycemic control by their general practitioner or internist. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 12
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- PLoS ONE
- Publication Type :
- Academic Journal
- Accession number :
- 120932661
- Full Text :
- https://doi.org/10.1371/journal.pone.0170802