Synthetic data only. Never enter patient information; nothing is sent or stored. For clinicians. Not FDA cleared.

CPE-002 · Glycemic state

GLY-005: Discordant Glycemic Test Results

Discordant Glycemic Test Results. Fires when two_or_more_interpretable_glycemic_tests_available AND glycemic_classifications_discordant.

Active rulePriority 4Metabolic engine v1.0.0

Condition

  • two_or_more_interpretable_glycemic_tests_available AND glycemic_classifications_discordant

Output

  • GLYCEMIC_RESULTS_REQUIRE_CLINICAL_RECONCILIATION

States it sets

  • interpretation validity state = VALIDITY-MODIFIED

Evidence

  • EV-ADA-2026-DIAGAmerican Diabetes Association Professional Practice Committee for Diabetes. Diagnosis and Classification of Diabetes: Standards of Care in Diabetes—2026. Diabetes Care. 2026;49(Suppl 1):S27-S49.Supports: Prediabetes criteria based on A1C, fasting plasma glucose, and 2-hour plasma glucose after 75-g OGTT. Diabetes-range findings based on A1C, fasting plasma glucose, OGTT, or symptomatic random plasma glucose.
  • EV-NGSP-A1CNational Glycohemoglobin Standardization Program. Factors that Interfere with HbA1c Test Results.Supports: Hemoglobin variants and altered red-cell lifespan may interfere with A1C interpretation. Iron deficiency may cause higher A1C values.

Cases where this rule fires

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