I’m devastatingly devastated at the horrible abuse of HbA1c I saw today… As you know, any patient who’s admitted with abscesses be it foot, leg, thigh, chest, abdominal wall… and not know to have DM should be investigated for it right?

Which I assume would consist of a random H/C at ED and then a fasting venous sample at ward level… But guess what, some rather senior people I know made me do a HbA1c to “investigate” for DM in a patient whose random H/C at ED was 6.1 and whose fasting glucose was 6.4.

… Sigh…