February 4, 2014

Fructosamine as a Measure of Diabetes Complications


fructosamineHow do you know if your diabetes control is keeping the temple sacred and diverting the onset of diabetes complications? If you depend on the HbA1c, you’re getting an idea every 3 months. A new study published in Lancet Diabetes and Endocrinology explains that you can do better by using a measure of fructosamine.

The HbA1c gives you an idea of where you stand on metabolic control every 3 months but it ignores the elephant in the room. How are your blood levels looking insofar as the real damaging elements to the tissues? That’s where fructosamine comes into play.

Fructosamine is the product of a reaction between glucose (sugar) and albumin (protein). Fructosamine and glycated albumin are markers of glucose control every 2 to 4 weeks. These markers, along with HbA1c, can provide a more comprehensive look at the diabetes control.

The people analyzed for this study showed that fructosamine and glycated albumin were strongly associated with incident diabetes and its microvascular complications, with prognostic value comparable to HbA1c.

Whether you have T1D or T2D, you know that your diabetes control is far more than just a glucose number. The crystal ball to complete diabetes and glyvated albumin monitoring may be found in the G1A, a monthly test for the control of glycation, the underlying cause of
the complications of diabetes.

Glycation happens in the blood when a protein bonds with a sugar molecule, such as fructose or glucose, without the protective action of an enzyme. People with diabetes have a lot to offer but we’re lacking that protective enzyme in a bag of tricks.

This isn’t about a palm reading every 3 months for a predictor of diabetes complications. This is a quantifiable alert system of how your day to day diabetes regime is keeping you safe from microvascular complications.

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