On the Weighted-Average Relationship Between Plasma Glucose and HbA1c

Response to Treviño

  1. Yasuhiro Tahara, MD, PHD1
  1. Division of Internal Medicine, Meimai Central Hospital, Matsugaoka, Akashi, Japan
  1. Address correspondence to Yasuhiro Tahara, Division of Internal Medicine, Meimai Central Hospital, Matsugaoka 4-1-32, Akashi, Hyogo 673-0862, Japan. E-mail: ystahara{at}zeus.eonet.ne.jp

Dr. Treviño (1) has derived a mathematical formula for HbA1c (A1C) change in response to exponential plasma glucose decay. His analysis has shown a faster decay of A1C associated with a slower decay of plasma glucose and posed a question to the weighted-average relationship between plasma glucose and A1C, which we proposed in our previous study (2). Since his derived formula is very complicated and the detailed analytical method is not given, I cannot exactly reply to his question. However, I propose here a new physiological model, which deals with the …

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