JULIO MESSER, M.D.; JON BRUNSWICK, M.D.
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To the editor: In the March issue Coller and associates (Ann Intern Med 311-316, 1978) report that hemoglobins A1a-c were elevated in all diabetic patients, regardless of retinopathy, and that fibrinogen was elevated only in those diabetic patients with retinopathy. In discussing the implications of these findings, however, they stated that because "there was a correlation between hemoglobin A1a-c levels and fibrinogen in diabetic patients . . . fibrinogen may be another reflection of diabetic control," and therefore concluded that "an argument in favor of strict control of hyperglycemia could be made."
Both their Table 1 (mean values) and Figure
MESSER J, BRUNSWICK J. Diabetes Control, Fibrinogen, and Hemoglobin A1a-c. Ann Intern Med. 1978;89:578. doi: 10.7326/0003-4819-89-4-578_1
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Published: Ann Intern Med. 1978;89(4):578.
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