A study of comparison of fasting blood glucose level and postprandial blood glucose level v/s HbA1c level for long term control of diabetes: An observational study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 3
Abstract
Introduction: Diabetes mellitus is a noncommunicable disease which is most prevalent and has become a modern epidemic. For many times, diabetes was diagnosed based on plasma glucose criteria, either the fasting blood sugar (FBS) or 2-h post prandial (PPG) in oral glucose tolerance test (OGTT). In 2009, an International Expert Committee recommended the use of glycated hemoglobin (HbA1c) to diagnose diabetes with a value of ≥6.5% and was accepted by ADA in 2010. Therefore the study was aimed to evaluate the predictive efficacy of glycated hemoglobin, fasting blood sugar and post prandial blood sugar as a diagnostic tool for diabetes mellitus and for long term control of diabetes mellitus.Material and methods: A hospital based cross sectional observational study of 200 case patients with type 2 diabetes mellitus were studied based on detailed history, examination, blood investigations, HbA1C.Results: suggests FBS and PP blood sugar contributed to overall glycemia but PP blood sugar glycemic contribution was relatively more than FBS levels. Conclusion: The result of our study showed that PPG strongly correlate with HbA1c or contributes significantly to overall glycemic control. Monitoring of PPG will be more helpful to achieve optimal glycemic control and prevent long term complication than FBS level.
Authors and Affiliations
Dr. H. P. Paliwal, Dr. Praveen Kumar Pahariya, Dr. Manish Pahadiya, Dr. Poonam P. Budania, Dr. Chandrashekhar Sharma
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