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DRC Director's Report - October 2024

Co-Director of the FOEDRC, Andrew Norris, MD, PhD with the help from Joseph Lang, PhD, Professor of Statistics and Actuarial Science, published an important article in the September issue of Diabetes Care focused on more accurately helping patients know if their blood sugars are meeting goals. 

The publication addresses a critical mathematical issue in the conversion formulas commonly used to predict Hemoglobin A1c (HbA1c) from average blood glucose levels. Hemoglobin A1c (HbA1c) is a test that measures the amount of glucose attached to hemoglobin, a protein in red blood cells, over a 3-month period. Higher HbA1c levels indicate poor blood sugar control and increase the risk of diabetes complications such as eye, kidney, and nerve damage.

The American Diabetes Association recommends maintaining HbA1c below 7% for most individuals with diabetes to minimize these risks. In addition to HbA1c, modern tools like continuous glucose monitors (CGMs) and glucose meters allow frequent measurement of blood glucose levels, providing users with their recent average glucose levels. Dr. Norris and Dr. Lang identified a small mathematical error in commonly used online calculators for converting average glucose to HbA1c. 

They developed corrected equations that provide more accurate predictions. While these new formulas improve accuracy, there remain ongoing challenges in perfectly aligning average glucose and HbA1c values, as both have inherent variability. This research is a step forward in refining tools used for diabetes management.

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The Fraternal Order of Eagles, an international nonprofit organization, unites fraternally in the spirit of liberty, truth, justice and equality, to make human life more desirable by lessening its ills, and by promoting peace, prosperity, gladness and hope.

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