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Evidence for Independent Heritability of the Glycation Gap (Glycosylation Gap) Fraction of HbA1c in Nondiabetic Twins

Response to Cohen et al.

  1. Frank Q. Nuttall, MD, PHD
  1. From the Minneapolis VA Medical Center, Minneapolis, Minnesota; and the Department of Medicine, University of Minnesota, Minneapolis, Minnesota
  1. Address correspondence to Frank Q. Nuttall, MD, PhD, Chief, Metabolic/Endocrine Section (111G), VA Medical Center, One Veterans Drive, Minneapolis, MN 55417. E-mail: nutta001{at}umn.edu

I have read with interest the article by Cohen et al. (1) in Diabetes Care. In this article, the authors reported a significant effect of heredity on the A1C values in twin subjects. This hereditary effect was attributed to “genes that preferentially affect erythrocyte lifespan or glucose and/or nonenzymatic glycation or deglycation in the intracellular rather …

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