Glycated albumin levels may not be a suitable substitute for hemoglobin A1c when monitoring a diabetic patient with iron deficiency anemia.
Hemoglobin A1c levels may be falsely elevated in diabetic patients with iron deficiency anemia.
Serum albumin tends to be lower in iron deficiency anemia. A low serum albumin concentration is associated with increased glycation of albumin and other plasma proteins. This results in misleading estimates for mean glucose levels and short-term glycemic control.
Fructosamine may be the more reliable method of monitoring glycation in these patients.
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