BQ Ps 37hba1c-Dir en Web

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Hemoglobin Diabetes Panel

A1C-Direct
(HbA1C-DIR)
What is HbA1C-DIR?

Hemoglobin A1C is formed by the condensation of glu-


cose with N-terminal valine residue of each β chain of
hemoglobin A. HbA1C constitutes approximately 80% of
the total HbA1 concentration. The formation of HbA1C is
essentially irreversible and its blood level depends both
on the lifespan of the red blood cells and on the con-
centration of glucose in the blood; the concentration in
blood is directly proportional to the mean glucose con-
centration over a period of 6-8 weeks, equivalent to the
erythrocytes half-life.

03/21 version
Hemoglobin A1C-Direct - HbA1C-DIR Diabetes Panel

Why measure HbA1C-DIR? Method

Reagents for the measurement of hemoglobin A1C Quantified by a latex turbidimetric assay. The different
(HbA1C) concentration in human blood for the asessment hemoglobins present in the hemolysate are unspecifi-
of its variations in general population. cally adsorbed on the latex particles surface in a ratio
HbA1C levels are a valuable adjunct to glucose determi- equivalent to their concentration in the sample. The
nations in the assessment and follow up of individuals addition of an anti-human HbA1C antibody causes ag-
with diabetes mellitus, providing much more reliable infor- glutination that is proportional to the concentration of
mation for glycaemia monitoring than do determinations hemoglobin A1C and can be measured by turbidimetry.
of glucose. Numerous studies have shown that diabetes
related complications may be reduced by the long term Performance characteristics
monitoring and tight control of blood glucose levels. The
HbA1C concentration may also be a useful tool in the di- Method: Turbidimetry
agnosis of diabetes. Analysis mode: Fixed time bireagent
Detection limit: 1,9 mmol/mol
Reference values and pathologies
Measurement interval: 2-140 mmol/mol (approximate value depen-
dent on the highest standard concentration)
Normal values:
Wavelength: 670 nm
IFCC (mmol/mol) NGSP-DCCT (%) Reference values /
Degree of control On board stability: 1 month
20-48 4.0-6.5 Non diabetic Repeatability: 1.5% at 70 mmol/mol
42-53 6.0-7.0 Goal Reproducibility: 2.2% at 70 mmol/mol
53-64 7.0-8.0 Good control
Sample type: Venous blood collected by standard proce-
>64 >8.0 Action suggested
dures and with EDTA as anticoagulant
Interferences: Bilirubin (up to 10 mg/dL) and lipemia (tri-
Decreased levels: glycerides up to 400 mg/dL) do not interfere.
• Hemolysis, anemia, treatments with Fe, Vit B12 or fo- Other drugs and substances may interfere.
late and treatment with erythropoietin In the immunoassay methods, the presence
of acetylated-Hb, carbamylated-Hb, labile
• Hemogloin S alteration
HbA1C HbE and HbD do not affect the
• Chronic kidney disease / Hemodialysis results. Other hemoglobin variants like HbS,
HbF or HbC can interfere
Increased levels:
• Prediabetes and diabetes
• Anemia due to Fe deficiency, due to Vit B12 deficiency
or due to folate deficiency
• Hemoglobin F alteration
• Chronic kidney disease (Hb Carbamylated)

Reagents

Product Code Presentation Reagent format


Multipurpose 31047 1 x 50 mL + 1 x 10 mL Liquid
A15/A25 Dedicated 13047 1 x 50 mL + 1 x 10 mL Liquid
BA Dedicated 22047 2 x 60 mL + 2 x 12 mL Liquid
22147 1 x 60 mL + 1 x 12 mL Liquid
HbA1C-Direct Standard 31048 4 x 0.5 mL Lyophilized
HbA1C-Direct Control (Normal) 18001 1 x 0.5 mL Lyophilized
HbA1C-Direct Control (Elevated) 18002 1 x 0.5 mL Lyophilized

customersupport@biosystems.es

Manufactured by: BioSystems S.A.


Costa Brava 30, 08030 Barcelona (España) | Tel. +34 93 311 00 00
biosystems@biosystems.es | www.biosystems.es

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