Patient Preparation

No special patient preparations are necessary.

Collect

Tube type:

   One 2.5 mL EDTA (Lavender) tube

   One 1.0 mL EDTA (Lavender) microtainer


Volume Requirement:

   Optimum: 1.0 mL whole blood

   Minimum: 0.5 mL whole blood

Specimen Preparation

DO NOT spin, use whole blood specimen.

Unacceptable Conditions

Clotted specimens.

Storage/Transport Temperature

Storage:

    Room temperature for 6 days

    Refrigerator temperature for 30 days

    Freezer temperature for 45 days (frozen specimen needs to stay frozen until tested, do not freeze/thaw)

Performed

Chemistry. Daily
 

Notes

The correlation of Estimated Average Glucose (EAG) included with the A1C follows from recent recommendations from the American Diabetes Association [1]:
"The results of the A1C-Derived Average Glucose study (ADAG), published in Diabetes Care, have affirmed the existence of a linear relationship between A1C and average blood glucose levels [2]. In light of the study results, ADA is recommending the use of a new term in diabetes management, estimated average glucose, eAG. Health care providers can now report A1C results to patients using the same units (mg/dl or mmol/l) that patients see routinely in blood glucose measurements."

The linear relationship between eAG and A1c is given by the formula:
eAG (mg/dL) = 28.7 x A1C (%) - 46.7

Additionally, a table giving 95% confidence intervals (CI) for eAG is also appended to A1c results reports.

References:
[1] http://professional.diabetes.org/glucosecalculator.aspx (accessed January 2009).
[2] Nathan DM, Kuenen J, Borg R, Zheng H, Schoenfeld D, Heine RJ; A1c-Derived Average Glucose Study Group. Translating the A1C assay into estimated average glucose values. Diabetes Care. 2008 Aug;31:1473-8.

Performed

Chemistry. Daily
 

Methodology

Instrument: Trinity Biotech Boronate Affinity Chromatography

Reported

Results same day.

Synonyms

  • Hemoglobin A1C

Reference Interval

<5.7% Normal
5.7-6.4% Prediabetes
>/=6.5% Diabetes
 

Interpretive Data

Correlation of Estimated Average Glucose (EAG) with A1C

A1C (%)

EAG Mean & 95% Range (mg/dL)

5

97 (76-120)

6

126 (100-152)

7

154 (123-185)

8

183 (147-217)

9

212 (170-249)

10

240 (193-285)

11

269 (217-314)

12

298 (240-347)

CPT Codes

83036

Test Build Information

OrderCode OrderName ResultCode ResultName Result Units LOINC CPT
SA1CB STABLE HGB A1C SA1C STABLE HGB A1C % 17856-6 83036
SA1CB STABLE HGB A1C EAG EAG mg/dL 27353-2  

Example Report

Additional Information

For additional information or questions, contact RPSInterfaceSupport@unmc.edu
 
Collection

Patient Preparation

No special patient preparations are necessary.

Collect

Tube type:

   One 2.5 mL EDTA (Lavender) tube

   One 1.0 mL EDTA (Lavender) microtainer


Volume Requirement:

   Optimum: 1.0 mL whole blood

   Minimum: 0.5 mL whole blood

Specimen Preparation

DO NOT spin, use whole blood specimen.

Unacceptable Conditions

Clotted specimens.

Storage/Transport Temperature

Storage:

    Room temperature for 6 days

    Refrigerator temperature for 30 days

    Freezer temperature for 45 days (frozen specimen needs to stay frozen until tested, do not freeze/thaw)

Performed

Chemistry. Daily
 

Notes

The correlation of Estimated Average Glucose (EAG) included with the A1C follows from recent recommendations from the American Diabetes Association [1]:
"The results of the A1C-Derived Average Glucose study (ADAG), published in Diabetes Care, have affirmed the existence of a linear relationship between A1C and average blood glucose levels [2]. In light of the study results, ADA is recommending the use of a new term in diabetes management, estimated average glucose, eAG. Health care providers can now report A1C results to patients using the same units (mg/dl or mmol/l) that patients see routinely in blood glucose measurements."

The linear relationship between eAG and A1c is given by the formula:
eAG (mg/dL) = 28.7 x A1C (%) - 46.7

Additionally, a table giving 95% confidence intervals (CI) for eAG is also appended to A1c results reports.

References:
[1] http://professional.diabetes.org/glucosecalculator.aspx (accessed January 2009).
[2] Nathan DM, Kuenen J, Borg R, Zheng H, Schoenfeld D, Heine RJ; A1c-Derived Average Glucose Study Group. Translating the A1C assay into estimated average glucose values. Diabetes Care. 2008 Aug;31:1473-8.

Ordering

Performed

Chemistry. Daily
 

Methodology

Instrument: Trinity Biotech Boronate Affinity Chromatography

Reported

Results same day.

Synonyms

  • Hemoglobin A1C
Result Interpretation

Reference Interval

<5.7% Normal
5.7-6.4% Prediabetes
>/=6.5% Diabetes
 

Interpretive Data

Correlation of Estimated Average Glucose (EAG) with A1C

A1C (%)

EAG Mean & 95% Range (mg/dL)

5

97 (76-120)

6

126 (100-152)

7

154 (123-185)

8

183 (147-217)

9

212 (170-249)

10

240 (193-285)

11

269 (217-314)

12

298 (240-347)

Administrative

CPT Codes

83036
RPS Interface Information

Test Build Information

OrderCode OrderName ResultCode ResultName Result Units LOINC CPT
SA1CB STABLE HGB A1C SA1C STABLE HGB A1C % 17856-6 83036
SA1CB STABLE HGB A1C EAG EAG mg/dL 27353-2  

Example Report

Additional Information

For additional information or questions, contact RPSInterfaceSupport@unmc.edu