Abstract
Glycated hemoglobin (HbA1c) is derived from the nonenzymatic addition of glucose to amino group of hemoglobin. It reflects the average blood glucose over the past 2-3 months. It was first used in routine clinical laboratories around 1977 and considered as one of the best methods to monitor glycemic control. Since then, many methods were implemented to measure it. Levels above 20% are rarely seen. The author reports a case of a 56-year-old female with type 2 diabetes who presented with the highest ever recorded HbA1c of 61.5%.
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