HbA1c MEASUREMENT METHODS: A REVIEW
Main Article Content
Abstract
Hemoglobin A1c (HbA1c) is an important laboratory parameter to screen, diagnose and monitor the results of diabetes mellitus treatment, which is a metabolic disorder. In 1968, the first HbA1c was identified. Then, there have been many studies proving correlation between HbA1c and venous blood glucose. In addition, there have also been many new approaches to HbA1c measurement. Currently, there are five methods to HbA1c assay, the test results are standardized to the International Federation of Clinical Chemistry (IFCC) Reference Measurement Procedure (RMP) in harmony with the efforts of the National Glycohemoglobin Standardization Program (NGSP): Immuno assays, enzymatic assays, boronat affinity chromatography, ion exchange high pressure liquid chromatography, capillary electrophoresis. This review article describes the principles of five methods for HbA1c measurement, their advantages and disadvantages, and their development in future. Based on published scientific data, the results showed that good agreement between methods for HbA1c measurement in blood samples with non-hemoglobinopathy and these methods were affected by blood samples with hemoglobinopathy. This was not only a stimulus for the improvement of HbA1c measurement technology but also a reference for research in future.
Article Details
Keywords
Hemoglobin A1c, capillary electrophoresis, HPLC, immunoassay, affinity chromatography, enzymatic assay, methods for HbA1c measurement
References
2. Nguyễn Thị Thanh Diễm (2020), So sánh phương pháp định lượng HbA1c bằng kỹ thuật điện di mao quản với kỹ thuật sắc ký lỏng cao áp. Luận văn thạc sĩ kỹ thuật xét nghiệm y học, Trường Đại học Y Dược Tp.HCM.
3. Phạm Thị Thanh Hương, Nguyễn Gia Bình, Đỗ Hồng Quảng, Nguyễn Văn Khoa (2018), So sánh kết quả định lượng HbA1c bằng 4 phương pháp xét nghiệm thường dùng ở Việt Nam. Tạp chí Y học Việt Nam, tập 470, tr. 64-69.
4. Nguyễn Thế Ngọc, Trần Ngọc Dung (2020), Nghiên cứu tình hình và các yếu tố liên quan đến biến chứng đái tháo đường type 2 ở người dân thành phố Tây Ninh năm 2019-2020. Tạp chí Y Dược học Cần Thơ, số 33, tr.23-31.
5. Nguyễn Thị Ngọc Vân (2017), Điện di mao quản vùng. Điện di mao quản ứng dụng trong phân tích thuốc đồng phân quang học. NXB Giáo dục Việt Nam, tr.35-36.
6. Altawallbeh G, Makky VF, Saenger AK, Peter JM and Killeen AA (2020), Evaluation of an Ion-Exchange HPLC Device for HbA1c Measurement. The Journal of Applied Laboratory Medicine, 5(4), pp. 695-703.
7. American Diabetes Association (2011), Diagnosis and Classification of Diabetes Mellitus. Diabetes care, 34 (1), pp. 62-69.
8. Gilani M, Aamir M, Akram A, Haroon ZH and Khadim MT (2020), Comparison of Turbidimetric Inhibition Immunoassay, High Performance Liquid Chromatography, and Capillary Electrophoresis Methods for Glycated Hemoglobin Determination. Lab Medicine, 51(6), pp. 579-584.
9. Gupta S, Jain U, Chauhan N (2017), Laboratory Diagnosis of HbA1c: A Review. J Nanomed Res, 5(4): 00120.
10. Herpol M, Lanckmans K, Neyghem SV and et al (2016), Evaluation of the Sebia Capillarys 3 Tera and the Bio-Rad D-100 Systems for the Measurement of Hemoglobin A1c. Am J Clin Pathol, 146(1), pp.67-77.
11. Ke P, Liu J, Chao Y, Wu X and et al (2017), Measurement of HbA1c and HbA2 by Capillarys 2 Flex Piercing HbA1c programme for simultaneous management of diabetes and screening for thalassemia. Biochem Med (Zagreb), 27(3), pp. 1-7.
12. Little RR, Roberts WL (2009), A review of variant hemoglobins interfering with hemoglobin A1c measurement. J Diabetes Sci Technol, 3(3), pp.446-451.
13. Tahara Y, Shima K (1993), The response of GHb to stepwise plasma glucose change over time in diabetic patients. Diabetes care, 16(9), pp.1313-1314.
14. Rhea JM, Molinaro R (2014), Pathology consultation on HbA1c methods and interferences. Am J Clin Pathol, 141, pp.5-16.
15. Rollborn N, Nordin G, Aleksandra MH, Lohmander M, Elmgren A and et al (2019), Good Agreement Between HbA1c Analyzed Using CE, HPLC, Immunological and Enzymatic Methods. Journal of Diabetes, Metabolism and its Complications, 1(1), pp.1-7.
16. Weykamp C, John WG and Mosca A (2009), A review of the challenge in measuring hemoglobin A1c. J Diabetes Sci Technol, 3(3), pp.439-445
17. Weykamp C (2013), HbA1c: A review of analytical and clinical aspects. Ann Lab Med, 33(6), pp.393-400.
18. Yasmeen F, Mumtaz A, Adhami S, Qureshi S (2011), Comparison of cation exchage HPLC and Immunoturbidimetric method for determination of HbA1c. Biomedica, 27, p.161-165.