Diagnostics

Analysis of glycated hemoglobin: the norm in children, the causes of deviations of indicators and methods for their normalization

Glycated hemoglobin (also called glycosylated) is a part of hemoglobin in the blood that is directly related to glucose.

This indicator is measured in percentage. The more sugar is contained in the blood, the higher this level will be.

The rate of glycated hemoglobin in children corresponds to the norm of an adult. If there are differences, they are usually insignificant.

What is this indicator?

The indicator helps to display blood sugar over a three-month period.

This is due to the fact that the life of the erythrocyte, in which the hemoglobin is located, is three to four months. The likelihood of complications increases with the growth of indicators that are obtained as a result of research.

If such an indicator as glycated hemoglobin, the rate for diabetes in children is greatly exceeded, it is urgent to begin treatment.

How is the analysis done?

In the 21st century, diabetes has become a real scourge and a huge problem for all of humanity.

To prevent possible complications, it is important to diagnose this disease as soon as possible.

Such a study, as an analysis of glycohemoglobin, gives the fastest and most accurate result.

The analysis of glycated hemoglobin in children plays a large role both in case of suspected diabetes mellitus and directly in the process of the disease. It allows you to accurately determine the glucose content in plasma over the past 3 months.

As a rule, doctors send adults or young patients to donate blood in the presence of the following ailments:

  • feeling of thirst that constantly haunts the patient;
  • reduced immunity;
  • weight loss for no particular reason;
  • the occurrence of vision problems;
  • chronic fatigue and fatigue;
  • problems urinating;
  • children who have an increased sugar content become lethargic and capricious.
One of the advantages of the study is the lack of need for preliminary preparation. It does not need to be carried out at a specific time of day or limit itself in the diet. To obtain the desired results, a specialist makes blood sampling from a finger or vein.

This diagnostic method is carried out with several goals. First of all, it is the control of glucose concentration in patients with diabetes. Also, the analysis is carried out in order to prevent or in order to adjust the methods of treatment of the patient.

Benefits of the analysis

The blood test for glycohemoglobin has several advantages compared with testing for glucose loyalty, as well as with a blood test for sugar before a meal:

  1. factors such as cold or stress do not affect the accuracy of the result;
  2. it allows you to identify the disease at the initial stage;
  3. research is carried out quickly, simply and immediately gives an answer to the question of whether a person is sick or not;
  4. the analysis allows you to find out whether the patient is well controlled sugar levels.

Thus, from time to time, healthy people should also be examined. This is especially important for those at risk, for example, is overweight or prone to hypertension. The study provides an opportunity to identify the disease before the first symptoms. As for babies, this analysis is especially important to determine the risk of possible complications.

If glycohemoglobin exceeds the norm for a long time, and also if it is gradually, but it grows, doctors will diagnose diabetes.

When the rate is lowered, it can be caused by such factors as a recent blood transfusion, surgery or injury. In these cases, appropriate therapy is prescribed, and after a while the indicators normalize.

Norms of glycated hemoglobin in children: differences in indicators

As for such an indicator as glycated hemoglobin, the norm in children is from 4 to 5.8-6%.

If the analysis results in such results, it means that the child does not suffer from diabetes. Moreover, this rule does not depend on the age of a person, his gender and what climate zone he lives in.

True, there is one exception. In babies in the first months of their life, the level of glycohemoglobin can be increased. Scientists explain this fact by the fact that fetal hemoglobin is present in the blood of newborns. This is a temporary phenomenon, and by about one year old children get rid of them. But the upper limit still should not exceed 6% no matter how old the patient is.

If there are no disturbances in carbohydrate metabolism, the indicator will not reach the above mark. In the case when the glycated hemoglobin in a child is 6–8%, this may indicate that sugar can be reduced due to the use of special medications.

When the content of glycohemoglobin at 9%, we can talk about a good compensation for diabetes in a child.

At the same time, this means that it is desirable to correct the treatment of the disease. The concentration of hemoglobin, which ranges from 9 to 12%, indicates a weak effectiveness of the activities.

Prescribed medications help only partially, but the body of a small patient is weakened. If the level exceeds 12%, this indicates the absence of the body's ability to regulate. In this case, diabetes in babies is not compensated, and the treatment that is being carried out at present does not bring positive results.

The rate of glycated hemoglobin in type 1 diabetes in children has the same indicators. By the way, this disease is also called diabetes of the young: most often the disease is found in people under the age of 30 years.

Type 2 diabetes in children is extremely rare. In this regard, monitoring the state of the child is especially important, since there is a very high risk of a secondary insulin-dependent process. In terms of aggressiveness with respect to nerve tissue and vessels, it is almost equal to type 1 diabetes.

With a significant (several times) excess of permissible indicators, there is every reason to believe that the child has complications: diseases of the liver, kidneys, diseases of the organs of vision. Thus, the survey should be carried out regularly, because it allows you to evaluate the effectiveness of treatment.

Normalization of indicators

It should be borne in mind that the excess of glycated hemoglobin can be increased as a result of carbohydrate metabolism, and iron deficiency.

If anemia is suspected, it makes sense after testing for hemoglobin to check the content of iron in the body.

As a rule, the rate of glycated hemoglobin in children is increased due to hyperglycemia. To reduce this level, it is necessary to follow all the recommendations of the doctor, follow a diet with a low carbohydrate content and regularly come for a checkup.

If a person is diagnosed with diabetes or other pathologies associated with impaired carbohydrate metabolism, it is necessary to strictly monitor the diet. This will help reduce the concentration of sugar in the blood, as well as prevent possible complications.

Vegetables, berries, lean meat and fish - the best products to normalize blood sugar

It is necessary to abandon chocolate, candy and fatty cheese, replacing them with fruits and berries. Salted and smoked must also be removed, but vegetables, lean meat and fish, nuts will be the way. With type 2 diabetes, natural yogurt without additives is useful, as well as low-fat milk.

It must be borne in mind that quickly bring down the level of glucose is dangerous to the health of the child. This should be done gradually, at about 1% per year. Otherwise, visual acuity and clarity may deteriorate. Over time, it is desirable to ensure that such an indicator as glycated hemoglobin in children does not exceed 6%.

If HbA1C is below normal, it can speak about the development of hypoglycemia. This condition is not very common, but if it is detected, it requires urgent treatment and a serious correction of nutrition.

Small children who have diabetes should be under the regular supervision of parents and the attending physician. Under the condition of normal compensation of the pathology, a patient with diabetes lives almost as much as a healthy person.

How often do you need to be tested?

The frequency of examinations should depend on what stage the disease is at.

When the treatment of diabetes has just begun, it is advisable to take tests every three months: this will allow you to choose the most effective course of treatment.

If the rate of glycated hemoglobin in children is increased to 7% over time, tests can be done every six months. This will allow timely detection of deviations and make the necessary adjustments.

In cases where diabetes mellitus is not diagnosed and glycohemoglobin levels are within the normal range, it will be sufficient to measure the rates once every three years. If its content is equal to 6.5%, this suggests that the risk of developing diabetes exists. Therefore, it is better to be examined once a year, while it is necessary to adhere to a low-carb diet.

Related videos

About blood test for glycated hemoglobin:

It is better to take tests in a private laboratory with a good reputation and positive reviews. Public clinics do not always have the equipment necessary for such studies. Results will be available in about 3 days. The doctor must decipher them, independent diagnostics and, moreover, self-treatment in this case are unacceptable.

Watch the video: Garry John and Cas Weykamp - Glycated Hemoglobin HbA1c for Diagnosis and Monitoring of Diabetes - Cu (September 2019).