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The Diabetes Educator
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TODAY'S EDUCATOR

Perspectives for Practice

Translating Estimated Average Glucose (eAG) to Promote Diabetes Self-management Capacity

Anne Rath Rentfro, MSN, RN, Marylyn McEwen, PhD, APRN, BC and Leslie Ritter, PhD, RN

From the University of Arizona, College of Nursing, Tucson, Arizona.

Correspondence to Anne R. Rentfro, MSN, RN, The University of Texas at Brownsville and Texas Southmost College, Department of Nursing, 80 Fort Brown, Brownsville, TX 78520 (arentfro{at}nursing.arizona.edu).

Purpose

The purpose of this article is to facilitate translation of the Consensus Statement to practice for diabetes educators and other professionals who contribute to the care of individuals with diabetes.

Methods

The 2007 Consensus Statement from the American Diabetes Association (ADA), European Association for the Study of Diabetes (EASD), International Federation of Clinical Chemistry and Laboratory Medicine (IFCC), and International Diabetes Federation (IDF) called for the standardization of glycated hemoglobin measurement in reporting and use of average glucose values in clinical practice.

Results

Conversion of glycated hemoglobin percentage to average blood glucose was anchored historically in early laboratory techniques linked to disease outcomes rather than to definitive laboratory standardization. Recently, the A1C-Derived Average Glucose (ADAG) study demonstrated that A1C values can be accurately expressed as estimated average glucose (eAG) and endorsed eAG as the best way to standardize the expression of laboratory values of glycated hemoglobin.

Conclusions

Adoption of the 2007 Consensus Statement will influence clinical practice and decision making and subsequently influence self-management for individuals with diabetes.

The Diabetes Educator, Vol. 35, No. 4, 581-594 (2009)
DOI: 10.1177/0145721709338222
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