Standardization of glycohemoglobin determinations in the clinical laboratory: Three years of experience

Academic Article


  • Measurement of glycohemoglobin has been recommended for the long-term assessment of glycemic control in diabetic patients. Because different analytical methods measure different glycohemoglobin species, it has been difficult to compare results between laboratories. Here we report 3 years of experience with calibration of an affinity chromatography method for measuring total glycohemoglobin (GHb). Calibration was achieved by including in each assay three hemolysate calibrators for which values for HbA(1c) and GHb had been determined by repeated analyses by high-performance liquid chromatography (HPLC) and affinity chromatography, respectively. Calibration improved interassay precision (CV = 3.20-7.90% and <5.0% before and after the introduction of calibration, respectively) and eliminated lot-to-lot variability. In 91 samples, HbA(1c) was estimated by the calibrated affinity chromatography assay and measured by an ion-exchange HPLC method. Estimated and HPLC-measured HbA(1c) showed no clinically significant differences during 36 months. The high degree of long-term precision, the disappearance of lot- to-lot variability, and the excellent comparability between analytical methods measuring different species of glycated hemoglobins demonstrate the advantages of calibration.
  • Authors

    Author List

  • Bodor GS; Little RR; Garrett N; Brown W; Goldstein DE; Nahm MH
  • Start Page

  • 2414
  • End Page

  • 2418
  • Volume

  • 38
  • Issue

  • 12