Agree. It may xx prestigious organisations have signed up to this
change but I wonder how many punters are really interested or don't find
this change bewildering. Like a number of similar previous exercises in
other spheres of clinical biochemistry, they look great on paper but of
questionable clinical value.
An article on HBA1c in the Annals gave the impression that June 11 date
is on hold pending yet another meeting at the IDF in Dubai later this
year. Locally we shall continue with dual reporting and like Paul I know
punters shall continue to ignore the new currency.
Ahmed Waise
Laboratory Medicine
York Hospital
-----Original Message-----
From: Clinical biochemistry discussion list
[mailto:[log in to unmask]] On Behalf Of Paul Masters
Sent: 04 April 2011 09:54
To: [log in to unmask]
Subject: Re: HbA1c dual reporting
For all those of you itching to switch off the old units in June, here's
another quote to consider: "Primum non nocere".
As a part-time diabetologist, as well as lab doctor, I can tell you that
%HbA1c has become hard-wired into my brain and I will forever be
back-calculating from the IFCC numbers anyway. (UK members over the age
of 50 will remember a similar issue with decimal money.) This affects
doctors, nurses, patients and many other healthcare professionals
dealing with diabetes (eg podiatrists and dietitians). There has been
minimal concerted educational effort. Nobody minded us reporting the new
units, because they just ignored them. Switching off the old units in
June has the potential to do a great deal of harm.
I seem to remember Jonathan's quote was Macbeth's conscience speaking
before he committed murder at the behest of his evil nagging wife, and
things didn't work out too well for him in the end, did they?
Paul
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