Translation:
The change to using HbA1c has been driven by the US, who believe that by
using HbA1c, they can increase the number of patients who don't quite
have diabetes in their commercial diabetes clinics. This will
1) increase clinic profitability because there will be more people wwho
can be charged for.
2) increase big Pharma profitability because they can sell more new
expensive drugs to the new patients. Newer drugs have less side effects
which is important [because if people get them they are likely to decide
they would rather not be treated].
3) Give the illusion that they have improved diabetes treatment because
the proportion of people developing side effects of diabetes will
decrease.
Whereas,
Medicare patients can be told to go on a diet, which won't dent
profitability.
************************************************************************
**************
Prof. Tim Reynolds
Consultant Chemical Pathologist
Burton Hospitals NHS Foundation Trust
work tel: 01283 511511 ext 4035
work fax: 01283 593064
work email: [log in to unmask]
work URL: www.burtonhospitals.nhs.uk
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-----Original Message-----
From: Clinical biochemistry discussion list
[mailto:[log in to unmask]] On Behalf Of Paul Masters
Sent: 17 January 2011 11:09
To: [log in to unmask]
Subject: Re: WHO Consultation concluded that HbA1c can be used as a
diagnostic
Irrespective of the wisdom of this decision, just an observation about
the units in the report. If even the WHO can't be bothered to use the
new IFCC units instead of %HbA1c, why should we? Is anyone going to
seriously turn off the old units in June?
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