ADA Standards of Care 2023 — Key Updates
A clear overview of the most relevant ADA recommendations for HbA1c use in diagnosis and long‑term diabetes management, including thresholds, testing frequency, and clinical decision points.
A clear overview of the most relevant ADA recommendations for HbA1c use in diagnosis and long‑term diabetes management, including thresholds, testing frequency, and clinical decision points.
How HbA1c supports both initial diagnosis and ongoing monitoring, and why it remains a cornerstone marker despite biological and analytical limitations.
A comparison of major analytical technologies (HPLC, immunoassay, enzymatic methods, capillary electrophoresis), highlighting their principles, strengths, and potential sources of bias.
Guidance on recognizing and managing interferences such as hemoglobin variants, anemia, altered red cell turnover, and other factors that may distort HbA1c values.
“Understanding the strengths and limitations of HbA1c methodologies is essential for accurate diabetes diagnosis and monitoring.”
Clinical biochemistry specialist. Clinical laboratory geneticist (EBMG). @ Laboratory of Metabolic Disorders and Newborn Screening Center of Eastern Andalusia

Dr. Bryksin is the System Medical Director for Core Laboratories at Emory Healthcare in Atlanta.
She is a board‑certified clinical chemist with extensive experience in method evaluation, laboratory standardization, and the implementation of advanced testing technologies.
Her work focuses on improving analytical quality, managing interferences, and ensuring reliable HbA1c testing aligned with ADA and NGSP/IFCC standards.

Educational Webinar with Dr.Matthew C. Wagner

Educational Webinar with David G. Grenache, PhD, D(ABCC) Chief Scientific Officer, TriCore Reference Laboratories
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