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A1CNow+ provides consistent, lab accurate results without the use of expensive capital equipment.

This system is certified and meets all standards required for certification by the National Glycohemoglobin
Standardization Program (NGSP).7

Immediate, face-to-face conuseling about your patients A1C results may motivate patients to actually do the things you tell them to do.

Patients who get immediate feedback may lower their A1C by up to 1%.

Lowering A1C levels reduces the risks of long term complications.

It's been shown that a 1% reduction in A1C lowers risk of complications such as eye, kidney and nerve disease by
40%

Immediate Results Impacts Treatment Modification
First Visit

With Immediate Feedback

52%

With Delayed Feedback (Lab)

27%

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Even without diabetes the A1c results can show the risk of mortality from heart disease.

 

EFFECT OF IMMEDIATE HEMOGLOBIN A1c RESULTS ON TREATMENT DECISIONS IN OFFICE PRACTICE
Andrea Ferenczi, MD A1, Kalpana Reddy, MD A1, Daniel L. Lorber, MD, FACP A2
A1 New York Hospital Medical Center of Queens, Flushing, New, York.
A2 New York Hospital Medical Center of Queens, Flushing, New York and Weill Medical College of Cornell University, New York, New York.

Abstract:

Objective:
To assess the effect of an immediately available hemoglobin A1c (HbA1c) result on glycemic control and physician decisions about pharmacologic therapy in an office practice. Methods: In a 1-year retrospective review of medical records, HbA1c results were analyzed in 115 patients beyond the age of 65 years, who had type 2 diabetes and were referred for the first time to a private endocrinology practice between April 1, 1997, and March 31, 1998. These patients were classified into two groups: group A (N = 93, insured by standard Medicare) had immediate HbA1c results (during the patient encounter) and group B (N = 22, insured by Medicare health maintenance organization [HMO]) had commercial laboratory HbA1c results available within 2 to 3 days. We reviewed the changes in the HbA1c level during the 12-month period and the presence or absence of a change in therapy at each visit. HbA1c levels were measured by ion-exchange low-pressure liquid chromatography in group A and by one of three capitated commercial laboratories (depending on HMO contracts) in group B. Results: At the end of the 12 months, the mean HbA1c decrease was 1.03 - 0.33% in group A and 0.33 - 0.83% in group B. During the first visit, 52% of the patients in group A had pharmacologic treatment interventions, whereas only 27% in group B had such interventions. Conclusion: Rapid availability of the HbA1c results during the clinical encounter improves the ability of the physician to make appropriate therapeutic decisions and results in improved glycemic control.

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1 Standards of Medical Care in Diabetes - 2006. Diabetes Care, Vol. 29, Supplement, January 1, 2006.2 Miller CD et al., Rapid A1C availability improves clinical decision-making in an urban primary care clinic. Diabetes Care 2003; 26:1158-1163.3 Cagliero E et al., Immediate feedback of HbA1C levels improves glycemic control in type 1 and insulin-treated type 2 diabetic patients. Diabetes Care 1999; 22: 1785-1789.4 Centers for Disease Control and Prevention. National diabetes fact sheet: general information and national estimates on diabetes in the United States, 2002. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2003. 5 Reimbursement rates may vary based upon geographical location, third party payer changes and other factors, and are subject to change in the future.6 Metrika estimate.7 Data on file.