Assessment of Haemoglobin A1c in the Prediction of Risk of Development of Diabetes
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 1
Abstract
Introduction: Diabetes comprises of a group of metabolic diseases manifested by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. For the prevention of diabetic complications, good glycemic control is necessary. The level of glycosylated hemoglobin provides a measure of the glycemic control of diabetes patients during the previous 2–3 months. Hence; we planned the present cohort study to evaluate the applicability of HbA1c baseline levels as predicator of new onset diabetes. Material and methods: The present study included assessment of all the patients reporting the department from last one year. All the patients between age group of 40 to 65 years were included for the present study. Questionnaire was given to the patients in which patient was asked about their diagnosis of diabetes and telephone number to contact them. Only those patients were selected for the study, in which diabetes was not diagnosed and gave telephone number to contact them for the study. All subjects with HbA1c ≥ 6.0% were invited back for follow-up Fasting plasma glucose (FPG) to complete the baseline diabetes assessment. Demographic details of the patients were also recorded. All the results were analyzed by SPSS software. Results: 56.2 years was the mean age of the subjects included in the present study. 93.5 percent of the subjects in the present study were males while 6.5 were females. 40 percent of subjects in the present study were overweight while 36 percent were obese. 57 percent of the subjects were afftected by hypwetension. 0.9 and 2.7 were the incidence of normal and high normal per 100 subjects per year respectively while 7.9 was the incidence of the elevated Hb A1c category. Conclusion: By identification the high risk populations with increase the efficacy of screening protocol of these systemic diseases.
Authors and Affiliations
Meenakshi Puri, Waseem .
Keywords
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