Cargando…
Whole Blood Donation Affects the Interpretation of Hemoglobin A(1c)
INTRODUCTION: Several factors, including changed dynamics of erythrocyte formation and degradation, can influence the degree of hemoglobin A(1c) (HbA(1c)) formation thereby affecting its use in monitoring diabetes. This study determines the influence of whole blood donation on HbA(1c) in both non-di...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5261611/ https://www.ncbi.nlm.nih.gov/pubmed/28118412 http://dx.doi.org/10.1371/journal.pone.0170802 |
_version_ | 1782499611539144704 |
---|---|
author | Dijkstra, Angelique Lenters-Westra, Erna de Kort, Wim Bokhorst, Arlinke G. Bilo, Henk J. G. Slingerland, Robbert J. Vos, Michel J. |
author_facet | Dijkstra, Angelique Lenters-Westra, Erna de Kort, Wim Bokhorst, Arlinke G. Bilo, Henk J. G. Slingerland, Robbert J. Vos, Michel J. |
author_sort | Dijkstra, Angelique |
collection | PubMed |
description | INTRODUCTION: Several factors, including changed dynamics of erythrocyte formation and degradation, can influence the degree of hemoglobin A(1c) (HbA(1c)) formation thereby affecting its use in monitoring diabetes. This study determines the influence of whole blood donation on HbA(1c) in both non-diabetic blood donors and blood donors with type 2 diabetes. METHODS: In this observational study, 23 non-diabetic blood donors and 21 blood donors with type 2 diabetes donated 475 mL whole blood and were followed prospectively for nine weeks. Each week blood samples were collected and analyzed for changes in HbA(1c) using three secondary reference measurement procedures. RESULTS: Twelve non-diabetic blood donors (52.2%) and 10 (58.8%) blood donors with type 2 diabetes had a significant reduction in HbA(1c) following blood donation (reduction >-4.28%, P < 0.05). All non-diabetic blood donors with a normal ferritin concentration predonation had a significant reduction in HbA(1c). In the non-diabetic group the maximum reduction was -11.9%, in the type 2 diabetes group -12.0%. When eligible to donate again, 52.2% of the non-diabetic blood donors and 41.2% of the blood donors with type 2 diabetes had HbA(1c) concentrations significantly lower compared to their predonation concentration (reduction >-4.28%, P < 0.05). CONCLUSION: Patients with type 2 diabetes contributing to whole blood donation programs can be at risk of falsely lowered HbA(1c). This could lead to a wrong interpretation of their glycemic control by their general practitioner or internist. |
format | Online Article Text |
id | pubmed-5261611 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-52616112017-02-17 Whole Blood Donation Affects the Interpretation of Hemoglobin A(1c) Dijkstra, Angelique Lenters-Westra, Erna de Kort, Wim Bokhorst, Arlinke G. Bilo, Henk J. G. Slingerland, Robbert J. Vos, Michel J. PLoS One Research Article INTRODUCTION: Several factors, including changed dynamics of erythrocyte formation and degradation, can influence the degree of hemoglobin A(1c) (HbA(1c)) formation thereby affecting its use in monitoring diabetes. This study determines the influence of whole blood donation on HbA(1c) in both non-diabetic blood donors and blood donors with type 2 diabetes. METHODS: In this observational study, 23 non-diabetic blood donors and 21 blood donors with type 2 diabetes donated 475 mL whole blood and were followed prospectively for nine weeks. Each week blood samples were collected and analyzed for changes in HbA(1c) using three secondary reference measurement procedures. RESULTS: Twelve non-diabetic blood donors (52.2%) and 10 (58.8%) blood donors with type 2 diabetes had a significant reduction in HbA(1c) following blood donation (reduction >-4.28%, P < 0.05). All non-diabetic blood donors with a normal ferritin concentration predonation had a significant reduction in HbA(1c). In the non-diabetic group the maximum reduction was -11.9%, in the type 2 diabetes group -12.0%. When eligible to donate again, 52.2% of the non-diabetic blood donors and 41.2% of the blood donors with type 2 diabetes had HbA(1c) concentrations significantly lower compared to their predonation concentration (reduction >-4.28%, P < 0.05). CONCLUSION: Patients with type 2 diabetes contributing to whole blood donation programs can be at risk of falsely lowered HbA(1c). This could lead to a wrong interpretation of their glycemic control by their general practitioner or internist. Public Library of Science 2017-01-24 /pmc/articles/PMC5261611/ /pubmed/28118412 http://dx.doi.org/10.1371/journal.pone.0170802 Text en © 2017 Dijkstra et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Dijkstra, Angelique Lenters-Westra, Erna de Kort, Wim Bokhorst, Arlinke G. Bilo, Henk J. G. Slingerland, Robbert J. Vos, Michel J. Whole Blood Donation Affects the Interpretation of Hemoglobin A(1c) |
title | Whole Blood Donation Affects the Interpretation of Hemoglobin A(1c) |
title_full | Whole Blood Donation Affects the Interpretation of Hemoglobin A(1c) |
title_fullStr | Whole Blood Donation Affects the Interpretation of Hemoglobin A(1c) |
title_full_unstemmed | Whole Blood Donation Affects the Interpretation of Hemoglobin A(1c) |
title_short | Whole Blood Donation Affects the Interpretation of Hemoglobin A(1c) |
title_sort | whole blood donation affects the interpretation of hemoglobin a(1c) |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5261611/ https://www.ncbi.nlm.nih.gov/pubmed/28118412 http://dx.doi.org/10.1371/journal.pone.0170802 |
work_keys_str_mv | AT dijkstraangelique wholeblooddonationaffectstheinterpretationofhemoglobina1c AT lenterswestraerna wholeblooddonationaffectstheinterpretationofhemoglobina1c AT dekortwim wholeblooddonationaffectstheinterpretationofhemoglobina1c AT bokhorstarlinkeg wholeblooddonationaffectstheinterpretationofhemoglobina1c AT bilohenkjg wholeblooddonationaffectstheinterpretationofhemoglobina1c AT slingerlandrobbertj wholeblooddonationaffectstheinterpretationofhemoglobina1c AT vosmichelj wholeblooddonationaffectstheinterpretationofhemoglobina1c |