Race Differences in Long-Term Diabetes Management in an HMO
Response to Adams et al.
- Celeste B. Hart, MD1
- 1North Florida Thyroid Center, Tallahassee, Florida
- Address correspondence to Celeste B. Hart, MD, North Florida Thyroid Center, 1705 South Adams St., Tallahassee, FL 32301-5621. E-mail: hart{at}thyroidcenter.com
Adams et al. (1) examined longitudinal differences in HbA1c (A1C) between black and white diabetic members of an HMO. They found a small, but persistent, increase in A1C values in black subjects; however, there is an important omission in their study. There is no indication that the authors considered the potential effect of the presence of variant hemoglobins in the study subjects. Eight percent …
