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Table 1:

Summary of observational studies reporting increased mortality with low HbA1c

Study Design Population Cut off HbA1c* Characteristics of patients with low HbA1c
Engoren et al, 2013 Prospective Diabetics undergoing heart surgery 5.7% Older, having myocardial infarctions, smokers, needed blood transfusions, and concomitant valve surgery.
Aguilar et al, 2009 Retrospective Diabetics with heart failure 6.4% Older, have chronic kidney disease, anemia and low cholesterol
Nichols et al, 2013, US Prospective Diabetics 6% Older, more macrovascular complications, lower body mass index and lower blood pressure.
Currie et al, 2010, UK Retrospective Diabetics 6.4% Insulin treated, older, more comorbidities and longer duration of diabetes.
Nicholas et al, 20 Case-control Diabetics 6.5% More prevalence of vascular disease, renal failure, malnutrition, smoking and weight loss.
Monami et al, 2013 Case-control Diabetics 6.5% Insulin-treated, older, longer duration of diabetes and more comorbidity burden.
Colayco et al, 2011 Case-control Diabetics 6.4% More prevalence of cardiovascular comorbidities.
Carson, et al 2010 Prospective General population 4.0% Low cholesterol, high ferritin, low blood pressure and abnormal liver function.
Shurraw et al, 2011 Prospective Diabetics with CKD 6.5 Older, high level of heart, lung, liver diseases, malignancy and dementia.
Ricks et al, 2012 Prospective Diabetics on hemodialysis 6.9 Low body weight and increased markers of malnutrition and inflammation.