From this study, it was found that A1C level of a patient provides a reliable measure of controlling chronic glycemia without the need for a timed sample or fasting, and it correlates highly with the long-term risk of diabetes-related complications and mortality. Most important, this test tool is more effective in detecting undiagnosed diabetes and there is a higher potentiality of using the measurements of AIC levels to screen type 2 diabetes (Choi et al, 2011).
How the new tool can be integrated into practice
It has been found that AIC test is not recommended for diagnosing diabetes among adolescents with diabetes. The conventional fasting plasma glucose test in which a patient is put on fast for 8 hours prior to testing has been found to detect more undiagnosed cases of diabetes among adolescents compared to the AIC test. The suitability of this among children is still debatable. For example, the American Diabetes Association has given guidelines on how it can be used in children yet researchers from Michigan University caution against the same. The AIC test tool is therefore best applicable to adults. This suitability is supported by research which indicates that AIC test is more sensitive in diagnosing adults accurately compared to adolescents.
The application of the findings of this study to adults simply entails making a shift from the use of the fasting blood glucose tests to using AIC tests when diagnosing diabetes among adults. ...