The fructosamine test is similar to the hemoglobin A1c test, but it is not as commonly used. The main difference between the two tests is that the fructosamine test measures your average blood glucose level over the past two or three weeks, while the A1c test is a measurement average of your blood sugar over the past two to three months. In ...
Fructosamine levels indicate the average level of blood glucose control over the past 2-3 weeks. [2, 3, 4] In individuals with diabetes mellitus, an increased level of serum fructosamine is associated with prolonged hyperglycemia for 2-3 weeks prior to testing.The higher the fructosamine value, the poorer the degree of glycemia control.
Fructosamine testing may be used to help people with diabetes monitor and control their blood glucose levels in cases where the A1c test cannot be used and/or a shorter-term monitoring window is desired. The level of fructosamine in the blood is a reflection of glucose levels over the previous 2-3 weeks.
Most commonly, fructosamine refers to a laboratory test for diabetes management that is rarely used in clinical practice (simple blood glucose monitoring or hemoglobin A1c testing are preferred). Many direct-to-consumer lab testing companies sell fructosamine tests, but these are unnecessary and of limited clinical value.
A normal fructosamine level may indicate that a diabetic has good diabetic control and that the current treatment plan is effective for the individual. likewise, a trend from high to normal fructosamine levels may indicate that changes to a person’s treatment regimen have been effective..
Fructosamine levels help us to adjust the insulin dose. In general, if a fructosamine level is low then the insulin dose is likely too high. If the fructosamine level is high it could mean that the insulin is under-dosed and needs an increase in the dose. However, there are other possible causes for a fructosamine level to be high. For example ...
Shima et al used HbA1c, fructosamine, and GA to screen for diabetes in 302 adults, 35 and concluded that the plasma levels of GA and HbA1c, but not fructosamine, could efficiently identify subjects at risk of diabetes. In a community-based Japanese population study including 1575 subjects, Furusyo et al reported that GA was useful for screening ...
Fructosamine levels indicate the average level of blood glucose control over the past 2-3 weeks. [ 2 , 3 , 4 ] in individuals with diabetes mellitus, an increased level of serum fructosamine is associated with prolonged hyperglycemia
For this reason, fructosamine is not widely used in clinical practise at present. Future Prospects. Fructosamine could however find wider use as an alternative marker of both glycemic control and the risk of diabetes, particularly if used with other tests, to include glycated albumin and 1,5-AG (Glycomark), FA
OBJECTIVE —Discordances between HbA1c and other measures of glycemic control are common in clinical practice and remain unexplained. We developed a measure of discordance between HbA1c and fructosamine (FA) (glycosylated serum proteins) to conduct a systematic evaluation. We termed this the glycosylation gap (GG) and sought to determine its relationship to diabetic nephropathy.