A Comparative Study of Glycated Albumin versus Glycated Haemoglobin in Diabetic Patients with End Stage Renal Disease on Haemodialysis

Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 12

Abstract

Objective: to compare glycated albumin(GA) and glycated haemoglobin(HbA1C) as glycemic indicator in diabetic patients with End stage renal disease(ESRD) on haemodialysis (HD)and to assess which of the two parameters provides more accurate assessment of glycemic control. Methodology: This is study which included 100 patients, 50 cases of diabetic ESRD patients on HD, and 50 controls of diabetic patients with normal renal function, from both the out-patient and in-patient Department of General Medicine, Kempegowda Institute of Medical Sciences, Bangalore between January 2016 to June 2016. HbA1C and Glycated Albumin was compared between these groups. Results: FBS, PPBS and GA in controls was 187±57.8mg/dl, 231.7±73.7mg/dl , 72.84±32.42ng/ml and in cases was 184±53.1mg/dl , 224.7±72.5 mg/dl, 75.20±34.7 ng/ml respectively. The difference of FBS, PPBS and GA between controls and cases was not statistically significant. However, HbA1c was significantly lower in cases (7.08±1.2) compared to controls (9.26±2.01) Conclusion: The HbA1c levels were significantly and paradoxically lower in diabetic patients with ESRD on HD compared to diabetics with normal renal function. GA better reflected the glycemic control in these patients.

Authors and Affiliations

Dr Basanth Kumar

Keywords

Related Articles

Premature Rupture of Membranes-Clinico Epidemiological Perspective

Background: Aim of the study is to compare demographic data, study the outcome of pregnancy in patients with Premature Rupture of Membranes (PROM) and establish correlation between latency of PROM with outcome of pregnan...

Comparison of Thiopentone sodium Vs Propofol as an Anaesthetic agent in Modified Electroconvulsive Therapy

Introduction: ECT consists of programmed electrical stimulation of the CNS to initiate seizure activity. Modified ECT started with the use of IV induction agent and Muscle relaxant in 1963. This study was conducted to co...

Effectiveness of Misoprostol for the Prevention of Postpartum Haemorrhage: A Review

Postpartum haemorrhage (PPH) is the major cause of maternal morbidity and mortality globally. Prevention of PPH will reduce the number of maternal deaths in rural communities of developing countries. This study aim to ac...

Effect of Addition of Dexmedetomidine as an Adjuvant to Levobupivacaine in Supraclavicular Brachial Plexus Block

Brachial plexus nerve blocks have become important in clinical practice because of their role in post-operative pain relief1 , shortening of patient recovery time and avoiding risks and adverse effects of General anaesth...

Download PDF file
  • EP ID EP519901
  • DOI -
  • Views 88
  • Downloads 0

How To Cite

Dr Basanth Kumar (2017). A Comparative Study of Glycated Albumin versus Glycated Haemoglobin in Diabetic Patients with End Stage Renal Disease on Haemodialysis. Journal of Medical Science And clinical Research, 5(12), 31717-31725. https://europub.co.uk/articles/-A-519901