Intended for healthcare professionals

Letters Haemoglobin A

HbA1c is a reliable test for type 2 diabetes in primary care irrespective of chronic kidney disease

BMJ 2014; 348 doi: (Published 18 June 2014) Cite this as: BMJ 2014;348:g3780
  1. Kate E Shipman, chemical pathology trainee1,
  2. Mohammed Jawad, foundation year 2 trainee1,
  3. Katie M Sullivan, foundation year 2 trainee1,
  4. Clare Ford, consultant clinical scientist1,
  5. Rousseau Gama, consultant chemical pathologist1
  1. 1New Cross Hospital, Wolverhampton WV10 0QP, UK
  1. kate.shipman{at}

Chronic kidney disease (CKD) is relatively common and has been reported to affect glycated haemoglobin (HbA1c).1 2 Kilpatrick and Atkins advise against using HbA1c to diagnose type 2 diabetes in end stage renal failure (CKD stage 5),3 …

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