The Data Is In!

A total of 59 ASHA employees participated in the Cardio CRP and A1c screenings on August 18,
2010. All participating employees will receive a letter with educational materials and their confidential
results. Any employee who had an abnormal Cardio CPR and/or A1c results will received a call from
our Physician's Assistant to offer coaching on next steps. The following is a description of the
screenings and group profile.

Cardio CRP is a blood test that is clinically used to assess relative risk of cardiovascular disease
(CVD) as well as assess risk of a recurrent cardiovascular event in patients with coronary heart
disease (CHD). C-reactive protein (CRP) is a non-specific acute-phase protein produced by the liver
in response to tissue injury, infection, and inflammation. Measurement of serum levels, which rise
as much as 1,000-fold after an acute event, has traditionally been used to diagnose and monitor
acute inflammatory states. However, mild CRP elevation (within the normal, non-acute-phase
range) has recently emerged as a valuable marker of cardiovascular risk.

How did your employees test?

Cardio CRP, mg/dL Relative Cardiovascular Risk Number of Percentage of

Participants Participants

<1.0 Low 28 47%

1.0-3.0 Average 19 32%

3.1-10.0 High 11 19%

>10.0 Persistent Elevations may represent 1 2%

non-cardiovascular inflammation

Glycohemoglobin (A1c) is a blood test that checks the amount of sugar (glucose) bound to
hemoglobin. Normally, only a small percentage of hemoglobin in the blood (4% to 6%) has glucose
bound to it. People who have diabetes or other conditions that increase their blood glucose levels
have more glycohemoglobin than normal. The A1c is used to diagnose diabetes as well as check
the long-term control of blood glucose levels in people with diabetes. Most doctors think the A1c
level is the best way to check how well a person is controlling his or her diabetes. An A1c above
6.5% is a newly recommended criterion for diagnosing diabetes. An individual diagnosed with
diabetes should try to keep their A1c level at or below 7%.

A1c Risk Number of Percentage of

Participants Participants

< 5.6% Non-Diabetic 39 66%

5.7% - 6.4% Pre-Diabetic 12 20%

> 6.5% Diabetic 8 14%

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