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The role of HbA1c in the diagnosis of diabetes mellitus in Australia

Michael C d’Emden, Jonathan E Shaw, Peter G Colman, Stephen Colagiuri, Stephen M Twigg, Graham R D Jones, Ian Goodall, Hans G Schneider and N Wah Cheung
Med J Aust 2012; 197 (4): 220-221. || doi: 10.5694/mja12.10988
  • Michael C d’Emden1,2
  • Jonathan E Shaw3
  • Peter G Colman4
  • Stephen Colagiuri5
  • Stephen M Twigg6
  • Graham R D Jones7,8
  • Ian Goodall9,10
  • Hans G Schneider11
  • N Wah Cheung12

  • 1 Royal Brisbane and Women’s Hospital, Brisbane, QLD.
  • 2 Australian Diabetes Society, Sydney, NSW.
  • 3 Baker IDI Heart and Diabetes Institute, Melbourne, VIC.
  • 4 Royal Melbourne Hospital, Melbourne, VIC.
  • 5 Boden Institute of Obesity, Nutrition, Exercise and Eating Disorders, University of Sydney, Sydney, NSW.
  • 6 University of Sydney, Sydney, NSW.
  • 7 St Vincent’s Hospital, Sydney, NSW.
  • 8 Royal College of Pathologists of Australasia, Sydney, NSW.
  • 9 Melbourne, VIC.
  • 10 Australasian Association of Clinical Biochemists, Sydney, NSW.
  • 11 Alfred Health, Melbourne, VIC.
  • 12 Westmead Hospital, Sydney, NSW.


Competing interests:

No relevant disclosures.

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  • 2. UK Prospective Diabetes Study (UKPDS) Group. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). Lancet 1998; 352: 837-853.
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  • 10. Colagiuri S, Lee CM, Wong TY, et al. Glycemic thresholds for diabetes-specific retinopathy: implications for diagnostic criteria for diabetes. Diabetes Care 2011; 34: 145-150.
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  • 15. American Diabetes Association. Standards of medical care in diabetes — 2011. Diabetes Care 2011; 34 Suppl 1: S11-S61.
  • 16. Colagiuri S, Davies D, Girgis S, Colagiuri R. National evidence based guideline for case detection and diagnosis of type 2 diabetes. Canberra: Diabetes Australia and National Health and Medical Research Council, 2009.
  • 17. Guyatt GH, Oxman AD, Vist GE, et al; GRADE Working Group. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ 2008; 336: 924-926.
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  • 20. Gallagher EJ, Le Roith D, Bloomgarden ZT. Review of hemoglobin A1c in the management of diabetes. J Diabetes 2009; 1: 9-17.

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