Even if your protein levels look normal, inflammation can make them not last as long, so the fructosamine blood sugar test might still be too low.
Evidence from Studies
No evidence studies found yet.
What Would Prove This
Per GRADE and EBM methodology, here is what ideal scientific evidence would look like to definitively prove or disprove this claim, ordered from strongest to weakest.
Whether fructosamine systematically underestimates glycemia in inflamed patients compared to CGM.
A prospective cohort of 400 adults with normal albumin but elevated CRP or ferritin, measuring fructosamine and 14-day CGM; primary outcome: correlation between fructosamine and CGM-derived GMI, with subgroup analysis by inflammatory marker levels.
The association between inflammatory markers and fructosamine-CGM discordance.
A cross-sectional study of 250 adults with normal albumin, measuring fructosamine, CGM (7-day run), and CRP/ferritin; reporting the strength of association between inflammation and underestimation of glycemia by fructosamine.
Illustrate instances where fructosamine fails to reflect true glycemia despite normal albumin in inflammatory states.
A case report of a patient with normal albumin, elevated ferritin, and hyperglycemia on CGM but normal fructosamine, with exclusion of liver and kidney disease.