【7you】評論

Fructosamine (主要為白蛋白與葡萄糖以非酵素連結的產物，反映 2-3weeks blood glucose )formed by the reaction between glucose and the amino group of protein (predominantly albumin, but also including globulins and lipoprotein). The attachment of the aldehyde group of the carbohydrate with the N terminal amino acid of the protein forms the reversible Schiff base product, the aldimine intermediate. The Schiff base product may be converted back to glucose and protein, or undergo the Amadori rearrangement to form stable fructosamine.process is known as non-enzymatic glycation  (生成過程需酵素參與) Glycated albumin refers to the formation of ketoamine specifically involving the major circulating protein albumin (3.5 g/dl to 5 g/dl). Glycated albumin is an example of a fructosamine (FA).肝硬化患者果糖胺值容易偏低 Because albumin is the most abundant of the serum proteins, fructosamine is predominantly a measure of glycated albumin. 補充 Fructosamine 與 A1c 可以換算 https://www.ncbi.nlm.nih.gov/books/NBK470185/