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  1. Article ; Online: Glycated albumin (GA) and inflammation: role of GA as a potential marker of inflammation.

    Roohk, H Vernon / Zaidi, Asad R / Patel, Dimple

    Inflammation research : official journal of the European Histamine Research Society ... [et al.

    2017  Volume 67, Issue 1, Page(s) 21–30

    Abstract: Aims: Abnormal levels of glycated albumin (GA) are associated with the onset of both diabetes and inflammation. Although inflammation has long been associated with diabetes, this article aims to explore the underlying mechanisms of this relationship as ... ...

    Abstract Aims: Abnormal levels of glycated albumin (GA) are associated with the onset of both diabetes and inflammation. Although inflammation has long been associated with diabetes, this article aims to explore the underlying mechanisms of this relationship as it pertains to the role of GA.
    Methods: We have reviewed 52 research articles since the year 2000. Common search terms used were "(inflammatory mediator) and GA" or "inflammation and GA". The findings have been organized according to diabetic complications with respect to the interactions of GA and inflammatory mediators. Glycated albumin and specific inflammatory mediators have been reported to play various roles in the pathogenesis of insulin resistance, atherosclerosis, coronary artery disease, retinopathy, and nephropathy. In the case of nephropathy and recently retinopathy, there is considerable evidence for GA in concert with inflammation playing a direct role in organ pathology. There is copious literature detailing GA's involvement in stimulating inflammatory markers and certain pro-inflammatory cytokines. A recent clinical study has shown GA to be a marker for inflammation in non-diabetic rheumatoid arthritis patients with the significance of standard inflammatory markers.
    Conclusions: The clinical utility of GA measurement may likely reside in its versatility as both a mediator of inflammation as well as a marker to track hyperglycemia and other diabetes complications. Further understanding of the role GA plays in glycemic and inflammatory diseases could lead to its acceptance as an independent bio-inflammatory marker.
    MeSH term(s) Animals ; Arthritis, Rheumatoid/metabolism ; Atherosclerosis/metabolism ; Biomarkers/metabolism ; Coronary Artery Disease/metabolism ; Humans ; Inflammation/metabolism ; Insulin Resistance ; Kidney Diseases/metabolism ; Retinal Diseases/metabolism ; Serum Albumin/metabolism
    Chemical Substances Biomarkers ; Serum Albumin ; glycated serum albumin
    Language English
    Publishing date 2017-10-11
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 1221794-3
    ISSN 1420-908X ; 1023-3830
    ISSN (online) 1420-908X
    ISSN 1023-3830
    DOI 10.1007/s00011-017-1089-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A review of glycated albumin as an intermediate glycation index for controlling diabetes.

    Roohk, H Vernon / Zaidi, Asad R

    Journal of diabetes science and technology

    2009  Volume 2, Issue 6, Page(s) 1114–1121

    Abstract: Introduction: This article reviews glycated albumin (GA) as a potential intermediate-term glycation index to fill the gap between self-monitoring of blood glucose (SMBG) and hemoglobin A1c testing in diabetes management. The introduction gives an ... ...

    Abstract Introduction: This article reviews glycated albumin (GA) as a potential intermediate-term glycation index to fill the gap between self-monitoring of blood glucose (SMBG) and hemoglobin A1c testing in diabetes management. The introduction gives an assessment of available short-, medium-, and long-term glycemic indicators. METHODOLOGIES AND UTILITY: Methods of GA measurement are summarized, and the variance of normal and diabetic GA values are discussed. Greatest uniformity in GA measurement is generally associated with immunoassay and the newer affinity chromatography methodologies utilized by reference laboratories. Utility of GA measurement includes its value as a marker for glycation, its substantial relationship to diabetes complications such as nephropathy and coronary artery disease, and as an unambiguous indicator of glycemic control in diabetes patients undergoing hemodialysis. Studies support the utility of GA in detecting short-term changes in glycemic control, and GA testing has been strongly recommended for gestational diabetes.
    Results and discussion: The results of a survey with mailings to over 3500 diabetes care professionals primarily in the United States are outlined and analyzed (margin of error: +/-6.5%, 95% confidence). Respondents strongly supported the need for a test for intermediate glycemic control as well as the utility of a rapid GA test as a monthly glycemic indicator.
    Conclusions: Such a test, as yet unavailable, could increase compliance and enhance empowerment among diabetes patients. It also has the potential to reduce the number of recommended SMBG tests, which may result in significant health care cost savings.
    Language English
    Publishing date 2009-05-27
    Publishing country United States
    Document type Journal Article
    ISSN 1932-2968
    ISSN (online) 1932-2968
    DOI 10.1177/193229680800200620
    Database MEDical Literature Analysis and Retrieval System OnLINE

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