Alternative Names Clinical hemoglobin C Prevention Genetic counseling may be appropriate for high-risk couples who wish to have a baby. References Steinberg MH. Sickle cell disease and associated hemoglobinopathies. In: Goldman L, Ausiello D, eds. Cecil Medicine . 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 167.
Generic Name: EPOETIN ALFA - INJECTION Pronounced: (e-POE-tin AL-fa) Epoetin Alfa Inj Precautions
Before using epoetin alfa, tell your doctor or pharmacist
if you are allergic to it; or to other drugs that cause more red blood cells to
be made (e.g., darbepoetin alfa); or to products containing human albumin; or
if you have any other allergies. This product may contain inactive ingredients,
which can cause allergic reactions or other problems. Talk to your pharmacist
for more details.
This medication should not be used if you have a certain
medical condition. Before using this medicine, consult your doctor or
pharmacist if you have:
uncontrolled high blood pressure
Before using this medication, tell your doctor or
pharmacist your medical history, especially of:
high blood pressure (treated/controlled)
blood disorders (e.g., sickle cell anemia, white blood cell
or platelet problems, bone marrow problems)
I recently saw the following question:
My granddaughter’s HgbA1c was elevated to 10. Her glucose readings have been normal. Why does she have this elevated reading?
It seems obvious at first glance that either the elevated HgbA1c is wrong, or the glucose readings are misleading. I’ll assume that your granddaughter has a diagnosis of diabetes, and that the glucose readings you describe are being done by her with a home glucose meter, rather than being done in a commercial laboratory. You don’t describe her as being a child, teen, or adult, but the issues are mostly age-independent.
As you are aware, the glycosylated hemoglobin test (called by various acronyms including HgbA1c and A1C) has a normal range well below your granddaughter’s value of 10. In people without diabetes, the value is usually about 5; for people with diabetes, most endocrinologists would want to see the value below 7. So, based on her value of 10, one would assum...
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