Estimation of the Hemoglobin Glycation Rate Constant
AbstractAimIn a previous study, a method of obtaining mean erythrocyte age (MRBC) from HbA1c and average plasma glucose (AG) was proposed. However, the true value of the hemoglobin glycation constant (kgdL/mg/day), required for this model has yet to be well characterized. Another study also proposed a method of derivingMRBCfrom erythrocyte creatine (EC). Utilizing these formulae, this study aimed to determine a more accurate estimate ofkg.Methods107 subjects including 31 patients with hemolytic anemia and 76 subjects without anemia were included in this study. EC and HbA1c data were analyzed, andMRBCusing HbA1c, AG and the newly-derived constant,kgwere compared toMRBCusing traditional51Cr in three patients whose data were taken from previous case studies.ResultA value of 7.0 × 10−6dL/mg/day was determined forkg.MRBCusing HbA1c, AG andkgwere found to no be significantly different (pairedt-test,p= 0.45) toMRBCusing traditional51Cr.Conclusionskgenables the estimation ofMRBCfrom HbA1c and AG.