e-Article
Diagnostic cut-off value of haemoglobin A1c for diabetes mellitus in Harare, Zimbabwe
Document Type
article
Author
Source
African Journal of Laboratory Medicine, Vol 13, Iss 1, Pp e1-e5 (2024)
Subject
Language
English
ISSN
2225-2002
2225-2010
2225-2010
Abstract
Very little is known about the diagnostic performance of the American Diabetes Association glycated haemoglobin (HbA1c) cut-off of 6.5% in resource-limited settings. This study, conducted between February 2023 and May 2023, aimed to determine the optimal HbA1c cut-off for the diagnosis of diabetes mellitus by measuring HbA1c and fasting plasma glucose levels in 120 adults attending care at a tertiary hospital in Harare, Zimbabwe. The optimal HbA1c cut-off was 6.1% and glucose levels were strongly correlated with HbA1c values. The prevalence of diabetes mellitus was higher (28.3%) at our derived HbA1c cut-off than with the American Diabetes Association criterion (21.6%). What this study adds: This study highlights the need for population-specific cut-off HbA1c values in the diagnosis of diabetes mellitus