{"id":146457,"date":"2024-08-23T06:17:53","date_gmt":"2024-08-23T06:17:53","guid":{"rendered":"https:\/\/labinsights.com\/acf_article\/%eb%8b%b9%eb%87%a8%eb%b3%91-%ea%b4%80%eb%a6%ac%ec%97%90%ec%84%9c-hba1c%ec%9d%98-%ec%97%ad%ed%95%a0-%ec%9d%b4%ed%95%b4-aw-tar-choon-%ea%b5%90%ec%88%98%ec%99%80%ec%9d%98-qa1%eb%b6%80\/"},"modified":"2026-01-23T07:19:27","modified_gmt":"2026-01-23T07:19:27","slug":"understanding-the-role-of-hba1c-in-diabetes-management-qa-with-prof-aw-tar-choon-part-1","status":"publish","type":"acf_article","link":"https:\/\/labinsights.com\/ko\/operations\/immunoassay\/understanding-the-role-of-hba1c-in-diabetes-management-qa-with-prof-aw-tar-choon-part-1\/","title":{"rendered":"\ub2f9\ub1e8\ubcd1 \uad00\ub9ac\uc5d0\uc11c HbA1c\uc758 \uc5ed\ud560 \uc774\ud574: Aw Tar Choon \uad50\uc218\uc640\uc758 Q&A(1\ubd80)"},"content":{"rendered":"

\uc0dd\uccb4\ud45c\uc9c0\uc790 HbA1c\uc5d0 \uad00\ud55c 2\ubd80 \uc2dc\ub9ac\uc988\uc758 \uc774\ubc88 \ud638\uc5d0\uc11c, Lab Insights \ud300\uc740 \uc2f1\uac00\ud3ec\ub974 Changi General Hospital\uc758 \ud654\ud559\ubcd1\ub9ac\ud559 \ucc45\uc784\uc790\uc778 Aw Tar Chun \uad50\uc218\uc640 \uc778\ud130\ubdf0\ub97c \ud588\uc2b5\ub2c8\ub2e4. \uadf8\ub294 \uc2f1\uac00\ud3ec\ub974 Proceedings of Singapore Healthcare, The Malaysian Journal of Medical Science, Journal of Hormonal Disorders and Endocrine Research\uc744 \ud3ec\ud568\ud55c \uc5ec\ub7ec \uc800\ub110\uc758 \ud3b8\uc9d1 \uc704\uc6d0\ud68c\uc5d0 \uc788\uc2b5\ub2c8\ub2e4. Aw \uad50\uc218\uc758 \uc5f0\uad6c \uad00\uc2ec \ubd84\uc57c\ub294 \ub0b4\ubd84\ube44 \uc7a5\uc560 (\uac11\uc0c1\uc120 \uc9c8\ud658, \ub2f9\ub1e8\ubcd1), \uba74\uc5ed \ubd84\uc11d, \uc554 \ubc0f \uc2ec\uc7a5 \uc0dd\uccb4\ud45c\uc9c0\uc790\ub97c \ud3ec\ud568\ud569\ub2c8\ub2e4.<\/p>\n

\ubcf8 Q&A\uc758 1\ubd80\uc5d0\uc11c\ub294 HbA1c \uac80\uc0ac\uc758 \uc911\uc694\uc131\uacfc \uc774 \uc0dd\uccb4\ud45c\uc9c0\uc790\uc5d0 \ub300\ud574 \ub35c \uc54c\ub824\uc9c4 \uba87 \uac00\uc9c0 \uc0ac\uc2e4\uc744 \uc774\ud574\ud560 \uac83\uc785\ub2c8\ub2e4.<\/p>\n

\ub2f9\ub1e8\ubcd1 \uad00\ub9ac\uc758 \ub9e5\ub77d\uc5d0\uc11c HbA1c\uac00 \uc911\uc694\ud55c \uc774\uc720\ub294 \ubb34\uc5c7\uc785\ub2c8\uae4c?<\/strong><\/p>\n

\ub2f9\ub1e8\ubcd1\uc740 \uace0\ud608\ub2f9\uc99d\uc758 \ub9cc\uc131 \uc0c1\ud0dc\uc785\ub2c8\ub2e4. \ub9ce\uc740 \uc0ac\ub78c\ub4e4\uc774 \ud3ec\ub3c4\ub2f9(\ub2e4\uc591\ud560 \uc218 \uc788\uace0 \uc2dd\ub2e8\uc5d0 \ub530\ub77c \ubcc0\ub3d9\ub420 \uc218 \uc788\uc74c)\uc744 \uc9c0\ud45c\ub85c \uc0ac\uc6a9\ud560 \uc218 \uc788\ub294 \uacbd\uc6b0, \uac80\uc0ac\uc640 \uadf8 \uc815\ud655\uc131\uc740 \ub2e4\uc591\ud558\uba70 \ud574\uc11d\uc5d0 \ub530\ub77c \ub2ec\ub77c\uc9d1\ub2c8\ub2e4. \ub2f9\ud654 \ud5e4\ubaa8\uae00\ub85c\ube48(HbA1c)\uc740 \uace8\uc218\uc5d0 \uc758\ud574 \uc0c8\ub85c\uc6b4 \ud5e4\ubaa8\uae00\ub85c\ube48\uc774 \uc0dd\uc131\ub420 \ub54c\ub9c8\ub2e4 \ub9cc\ub4e4\uc5b4\uc9c0\uba70, \ud3ec\ub3c4\ub2f9\uacfc \ub9cc\ub098\uba74 \ube44\uac00\uc5ed\uc801\uc73c\ub85c HbA1C\ub97c \ud615\uc131\ud569\ub2c8\ub2e4.<\/p>\n

\uc801\ud608\uad6c(RBC)\ub85c \uc6b4\ubc18\ub418\ub294 HbA1c\ub294 RBC\uc758 \uc0dd\uc874\uc728\uc774 120\uc77c\uc774\uae30 \ub54c\ubb38\uc5d0 8~10\uc8fc \uc804\uc5d0 \uc218\uc900\uc744 \ub098\ud0c0\ub0bc \uc218 \uc788\ub294 \ub2a5\ub825\uc73c\ub85c \uac1c\uc778\uc758 \ud608\ub2f9 \ud658\uacbd\uc744 \ub354 \uc798 \ubc18\uc601\ud569\ub2c8\ub2e4.<\/p>\n

\uc2e4\ud5d8\uc2e4\uc5d0\uc11c \uc8fc\ubaa9\ud574\uc57c \ud560 HbA1c\uc5d0 \ub300\ud574 \ub35c \uc54c\ub824\uc9c4 \uc0ac\uc2e4\uc740 \ubb34\uc5c7\uc785\ub2c8\uae4c?<\/strong><\/p>\n

\uc6b0\ub9ac\ub294 \uc774\uc81c \ub2f9\ud654 \ud5e4\ubaa8\uae00\ub85c\ube48\uc774 \uc815\ud655\ud788 \ubb34\uc5c7\uc778\uc9c0 \uc54c\uace0 \uc788\uc74c\uc744 \uc774\ud574\ud574\uc57c \ud569\ub2c8\ub2e4. \uae00\ub9ac\ucf54\ud5e4\ub9c8\uae00\ub85c\ube48\uc740 \ud3ec\ub3c4\ub2f9 \uc678\uc5d0\ub3c4 \ud574\ub2f9 \ubd84\uc790\uc758 \ubca0\ud0c0 \uc0ac\uc2ac\uc758 N-\ub9d0\ub2e8\uc5d0\uc11c \ucc98\uc74c 5~6\uac1c\uc758 \uc544\ubbf8\ub178\uc0b0\uc774 \uc0dd\uc131\ub429\ub2c8\ub2e4. \ud06c\ub85c\ub9c8\ud1a0\uadf8\ub798\ud53c\uc758 \ucd1d \ub2f9\ud654 \ud5e4\ubaa8\uae00\ub85c\ube48 \ubc0f\/\ub610\ub294 \uac1c\ubcc4 \ud53c\ud06c\ub97c \uce21\uc815\ud558\ub294 \ubd84\uc11d\uc740 \ub354 \uc774\uc0c1 \uccab \ubc88\uc9f8 \uc120\ud0dd\uc774 \uc544\ub2d9\ub2c8\ub2e4.<\/p>\n

\ub458\uc9f8, \ud608\uc0c9\uc18c\ubcd1\uc99d\uc740 HbA1c \uce21\uc815\uc5d0 \uc601\ud5a5\uc744 \ubbf8\uce60 \uc218 \uc788\uc73c\uba70, \uc0ac\uc6a9\ub418\ub294 \ub2e4\uc591\ud55c \uac80\uc0ac \ubc29\ubc95\ub3c4 \ub2e4\ub974\uac8c \uc601\ud5a5\uc744 \ubc1b\uc73c\uba70, \uace0\uc131\ub2a5 \uc561\uccb4 \ud06c\ub85c\ub9c8\ud1a0\uadf8\ub798\ud53c(HPLC)\ub3c4 \uba74\uc5ed\uc131\uc774 \uc5c6\uc2b5\ub2c8\ub2e4. \ud608\uc0c9\uc18c\ubcd1\uc99d\uc740 HbA1c \uce21\uc815\uc5d0 \uc601\ud5a5\uc744 \ubbf8\uce60 \uc218 \uc788\uc9c0\ub9cc \ub3d9\ud615\uc811\ud569\uccb4\uc778 \uacbd\uc6b0\uc5d0\ub9cc \uc601\ud5a5\uc744 \ubbf8\uce69\ub2c8\ub2e4. \uc774\ud615\uc811\ud569 \ud608\uc0c9\uc18c\ubcd1\uc99d\uc740 \uce21\uc815\uc5d0 \uacbd\ubbf8\ud55c \uc601\ud5a5\uc744 \ubbf8\uce58\uba70 \uadf8\ub85c \uc778\ud55c \ud6c4\uc18d \uc601\ud5a5\uc744 \ucd5c\uc18c\ud654\ud569\ub2c8\ub2e4. \uc774\uac83\uc744 \ud658\uc790\uc5d0\uac8c \uc218\uc6a9\ud558\uae30 \uc704\ud574 \ud658\uc790\ub97c \uc790\uc2e0\uc758 \ub300\uc870\uad70\uc73c\ub85c \uc0ac\uc6a9\ud558\ub294 \uac83\uc774 \uc88b\uc2b5\ub2c8\ub2e4. \uc5f0\uc18d \ud608\ub2f9 \ubaa8\ub2c8\ud130\ub97c \uc0ac\uc6a9\ud558\uba74 \ud658\uc790\uac00 [\ud608\ub2f9 \uc218\uc900]\uc744 \uc798 \uc870\uc808\ud558\uace0 \uc788\ub294\uc9c0 \uc5ec\ubd80\ub97c \uc54c \uc218 \uc788\uc2b5\ub2c8\ub2e4. \uc624\ub298\ub0a0 \uc5f0\uc18d \ud608\ub2f9 \ubaa8\ub2c8\ud130\ub9c1\uc758 \ucc44\ud0dd\uc740 \uac00\uaca9\ud45c\uc5d0 \uc758\ud574 \ubc29\ud574\ub97c \ubc1b\uc9c0\ub9cc \ub098\ub294 \ub354 \ub098\uc544\uc9c8 \uac83\uc774\ub77c\uace0 \ubbff\uc2b5\ub2c8\ub2e4.<\/p>\n

\ud68d\uae30\uc801\uc778 \ub2f9\ub1e8\ubcd1 \uad00\ub9ac \ubc0f \ud569\ubcd1\uc99d \uc2dc\ud5d8 (DCCT)\uacfc \uc601\uad6d \uc804\ud5a5\uc801 \ub2f9\ub1e8\ubcd1 \uc5f0\uad6c (UKPDS)\uc758 \uba87 \uac00\uc9c0 \uc8fc\uc694 \uacb0\uacfc\ub97c \uacf5\uc720 \ud560 \uc218 \uc788\uc2b5\ub2c8\uae4c?<\/strong><\/p>\n

DCCT\uc640 UKPDS\ub294 \ubaa8\ub450 1990\ub144\ub300\uc5d0 \uc644\ub8cc\ub41c \ud68d\uae30\uc801\uc778 \uc5f0\uad6c\uc600\uc73c\uba70, \ub2f9\ub1e8\ubcd1\uc5d0\uc11c \ud608\ub2f9 \uc870\uc808\uc5d0 \uc788\uc5b4 \uc9d1\uc911\uc801\uc778 \ud608\ub2f9\uc758 \uc911\uc694\uc131\uc744 \ubcf4\uc5ec\uc8fc\uc5c8\uae30 \ub54c\ubb38\uc5d0 \uad00\uc2ec\uc744 \uac00\uc84c\uc2b5\ub2c8\ub2e4. \uc2e4\ud5d8 \uacb0\uacfc, \ub450 \uc720\ud615\uc758 \ub2f9\ub1e8\ubcd1 \ubaa8\ub450\uc5d0\uc11c \ud608\ub2f9 \uc870\uc808\uc774 \ubd88\ub7c9\ud558\uace0 \ub9dd\ub9c9\ubcd1\uc99d, \uc2e0\uacbd\ubcd1\uc99d \ubc0f \uc2e0\uc7a5\ubcd1\uc99d\uacfc \uac19\uc740 \uc77c\ubc18\uc801\uc778 \ubbf8\uc138\ud608\uad00 \ud569\ubcd1\uc99d \uc0ac\uc774\uc5d0 \uba85\ud655\ud55c \uc5f0\uad00\uc131\uc774 \uc788\uc74c\uc774 \ubc1d\ud600\uc84c\uc2b5\ub2c8\ub2e4. \ud608\ub2f9 \uc870\uc808\uc774 \ub354 \ubd88\ub7c9\ud55c \ud53c\ud5d8\uc790\ub294 \ub354 \ub098\uc740 \uc870\uc808\uc744 \ud55c \ud53c\ud5d8\uc790\ubcf4\ub2e4 \ub354 \ub098\ube74\uc2b5\ub2c8\ub2e4.<\/p>\n

\uc774 \uc784\uc0c1\uc2dc\ud5d8\uc740 \uc624\ub298\ub0a0 \ub2f9\ub1e8\ubcd1 \uc784\uc0c1\uc2dc\ud5d8\uc774 \uc5b4\ub5bb\uac8c \uc9c4\ud589\ub418\ub294\uc9c0\uc5d0 \ub300\ud55c \uae30\ubc18\uc744 \ub9c8\ub828\ud588\uc73c\uba70, \uadf8 \uc774\ud6c4\ub85c \uc5ec\ub7ec \uc5f0\uad6c\uc5d0 \ub530\ub974\uba74 \ub2f9\ub1e8\ubcd1\uacfc \uc2ec\ubd80\uc804\uc758 \ubc1c\ub2ec \uac00\uc18d\ud654\uc640 \uac19\uc740 \ud6e8\uc52c \ub354 \ub9ce\uc740 \ub3d9\ubc18\uc9c8\ud658 \uc0ac\uc774\uc758 \uc5f0\uad00\uc131\uc774 \ubc1d\ud600\uc84c\uc2b5\ub2c8\ub2e4.<\/p>\n

\uc11c\ub85c \ub2e4\ub978 \uac80\uc0ac\uc2e4\uc5d0\uc11c \ud655\ubcf4\ud55c \uacb0\uacfc\uac00 DCCT\uc5d0 \ubcf4\uace0\ub41c \uacb0\uacfc\uc640 \ube44\uc2b7\ud55c\uc9c0 \ud655\uc778\ud558\ub294 \ubc29\ubc95\uc740 \ubb34\uc5c7\uc785\ub2c8\uae4c?<\/strong><\/p>\n

\uc774\uc81c \uacb0\uacfc\ub97c \uc870\ud654\uc2dc\ud0a4\uae30 \uc704\ud574 \ucc38\uc870 \ubc29\ubc95, \ubaa8\uc138\uad00 \uc804\uae30\uc601\ub3d9 \ubc0f \uc9c8\ub7c9 \ubd84\uc11d\ubc95\uc774 \uc788\ub2e4\uace0 \ub9d0\ud558\ub294 \uac83\uc774 \ub354 \uc815\ud655\ud569\ub2c8\ub2e4. \ubaa8\uc138\uad00 \uc804\uae30\uc601\ub3d9\uc740 A1c \ub2e8\ud3b8\uc744 \ubd84\ub9ac\ud55c \ub2e4\uc74c \uc9c8\ub7c9 \uc774\uc628\ud654(\uc9c8\ub7c9 \ubd84\uc11d \ud615\ud0dc)\ub97c \uc0ac\uc6a9\ud558\uc5ec \uce21\uc815\ud569\ub2c8\ub2e4. \uc774\uac83\uc774 \uae30\ubcf8 \ubc29\ubc95\uc785\ub2c8\ub2e4. \ubaa8\uc138\uad00 \uc804\uae30\uc601\ub3d9\uc740 \ub610\ud55c \uc774\uc6a9 \uac00\ub2a5\ud55c \ucc38\uc870 \ubc29\ubc95 \uce21\uba74\uc5d0\uc11c \uc774\uc81c \ucd5c\uc801\uc758 \ud45c\uc900\uc73c\ub85c \uac04\uc8fc\ub429\ub2c8\ub2e4.<\/p>\n

\ubb3c\ub860, \uc758\ub8b0 \uc2e4\ud5d8\uc2e4\uc5d0\uc11c\ub3c4 NGSP \ud504\ub85c\uadf8\ub7a8\uc5d0 \ucc38\uc5ec\ud558\uace0\uc790 \ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4.<\/p>\n

NGSP\uc5d0 \ub300\ud574 \ub9d0\ud558\uc790\uba74, HbA1c\uc5d0 \ub300\ud55c \ub2e4\uc591\ud55c \ud488\uc9c8 \uad00\ub9ac \ud3c9\uac00\uc5d0 \ub300\ud574 \uc790\uc138\ud788 \uacf5\uc720\ud560 \uc218 \uc788\uc2b5\ub2c8\uae4c?<\/strong><\/p>\n

\ucd5c\uace0\uc758 \ud45c\uc900\ud654 \ud504\ub85c\uadf8\ub7a8\uc740 NGSP\uac00 \uc6b4\uc601\ud558\ub294 \ud504\ub85c\uadf8\ub7a8\uc774\uba70, \ud504\ub85c\uadf8\ub7a8\uc758 \ud558\uc774\ub77c\uc774\ud2b8 \uc911 \ud558\ub098\ub294 \ubaa8\ub2c8\ud130\ub9c1 \ubc0f \uc778\uc99d\uc774\ub77c\ub294 \ub450 \uac00\uc9c0 \uc720\ud615\uc744 \uc2e4\ud589\ud558\ub294 \uac83\uc785\ub2c8\ub2e4. \ubaa8\ub2c8\ud130\ub9c1 \ud504\ub85c\uadf8\ub7a8\uc758 \uacbd\uc6b0 \ucc4c\ub9b0\uc9c0\ub2f9 20\uac1c\uc758 \uc0d8\ud50c\uc744 1\ub144\uc5d0 4\ud68c \uc81c\uacf5\ud558\uace0 2\uc77c \ub3d9\uc548 10\uac1c\uc758 \uc0d8\ud50c\uc744 \uc218\ud589\ud569\ub2c8\ub2e4. \uc778\uc99d \ucc4c\ub9b0\uc9c0\ub294 1\ub144\uc5d0 \ud55c \ubc88 40\uac1c\uc758 \uc0d8\ud50c\uc744 \uc81c\uacf5\ud558\uace0 5\uc77c \ub3d9\uc548 8\uac1c\uc758 \uc0d8\ud50c\uc744 \uc218\ud589\ud569\ub2c8\ub2e4. \uadf8\ub7ec\ub098 NGSP\uc5d0 \ucc38\uc5ec\ud558\uc9c0 \uc54a\ub294 \uacbd\uc6b0 College of American Pathologists(CAP) \uc870\uc0ac\ub85c\ub3c4 \ucda9\ubd84\ud569\ub2c8\ub2e4.<\/p>\n

\uc2f1\uac00\ud3ec\ub974\uc5d0\uc11c Ministry of Health(MOH)\ub294 \ub9e4\ub144 2\ud68c\uc758 \ucc4c\ub9b0\uc9c0\uc640 \ucc4c\ub9b0\uc9c0\ub2f9 1\uac1c\uc758 \uc0d8\ud50c\ub85c \uad6c\uc131\ub41c \uc790\uccb4 \ud504\ub85c\uadf8\ub7a8\uc5d0 \ucc38\uc5ec\ud574\uc57c \ud55c\ub2e4\uace0 \uaddc\uc815\ud558\uace0 \uc788\uc2b5\ub2c8\ub2e4.<\/p>\n

\n

Aw Tar Chun \uad50\uc218\ub85c\ubd80\ud130 \ub354 \ub9ce\uc740 \uc778\uc0ac\uc774\ud2b8\ub97c \uc5bb\uc73c\ub824\uba74 Q&A 2\ubd80<\/a>\ub97c \ud655\uc778\ud558\uc138\uc694. HbA1c \uac80\uc0ac \ubc0f \uc6b4\uc601 \uad6c\ud604\uc744 \ud1b5\ud574 \uac80\uc0ac\uc2e4\uc774 \uc5b4\ub5bb\uac8c \uc774\uc775\uc744 \uc5bb\uc744 \uc218 \uc788\ub294\uc9c0\uc5d0 \ub300\ud55c \uc790\uc138\ud55c \ub0b4\uc6a9\uc740 Roche Diagnostics Asia Pacific\uc758 \ube44\uc988\ub2c8\uc2a4 \uad00\ub9ac\uc790(\ud575\uc2ec \uac80\uc0ac\uc2e4)\uc778 Yingli Huang\uc5d0\uac8c \ubb38\uc758\ud558\uc2ed\uc2dc\uc624(yingli.huang@roche.com).\u00a0<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

\uc0dd\uccb4\ud45c\uc9c0\uc790 HbA1c\uc5d0 \uad00\ud55c 2\ubd80 \uc2dc\ub9ac\uc988\uc758 \uc774\ubc88 \ud638\uc5d0\uc11c, Lab Insights \ud300\uc740 \uc2f1\uac00\ud3ec\ub974 Changi General Hospital\uc758 \ud654\ud559\ubcd1\ub9ac\ud559 \ucc45\uc784\uc790\uc778 Aw Tar Chun \uad50\uc218\uc640 \uc778\ud130\ubdf0\ub97c \ud588\uc2b5\ub2c8\ub2e4. \uadf8\ub294 \uc2f1\uac00\ud3ec\ub974 Proceedings of Singapore Healthcare, The Malaysian Journal of Medical Science, Journal of Hormonal Disorders and Endocrine Research\uc744 \ud3ec\ud568\ud55c \uc5ec\ub7ec \uc800\ub110\uc758 \ud3b8\uc9d1 \uc704\uc6d0\ud68c\uc5d0 \uc788\uc2b5\ub2c8\ub2e4. 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