Fergus Cameron, Australia
Royal Children’s Hospital Department of Endocrinology and DiabetesPresenter of 1 Presentation
DEBATE: In the era of remote visits – do we still need A1c measures - PRO
Abstract
Abstract Body
Debate: In the Era of Remote Visits, Do We Still Need A1c Measures?
Fergus Cameron and Stuart A Weinzimer
Hemoglobin A1c has been the gold standard metric to assess glycemic control in people with type 1 diabetes since the Diabetes Control and Complications Trial, and subsequently has been adopted to other forms of diabetes, as well as for diagnosing diabetes. However, the rapidly increasing use of continuous glucose monitoring (CGM) has enabled clinicians to assess metrics of glycemia more directly; and with the growing popularity of telemedicine, driven most urgently in the past year by the COVID pandemic, the role of A1c as a clinically important measure has been questioned. In this debate, we will discuss the relative merits and limitations of A1c and CGM, and whether continuing use of A1c measures in clinical care is still warranted.