Comparison between Glycated Hemoglobin and Blood Glucose in Monitoring Diabetic Patients at Point of Care Testing
Journal Title: Journal of Biomedical and Pharmaceutical Research - Year 2013, Vol 2, Issue 2
Abstract
Point of care testing is a mode of testing where immediate laboratory tests are performed on the patient at the site where healthcare is provided close to the patient. Diabetes mellitus type 1 and 2 can be monitored using point of care kits for random blood glucose and glycated hemoglobin. The aim of the study was to compare point of care kits for random blood glucose with that of glycated hemoglobin in monitoring diabetes mellitus. A purposeful randomized study was carried out at the Nyeri Provincial General Hospital on 157 patients attending diabetes clinic. On monitoring random blood glucose of these patients ranged from 3.0 – 36.1mmol/L. 31.3%, 24.2% and 43.9% of the patients had controlled borderline and uncontrolled diabetes mellitus in all age groups. Glycated hemoglobin (HbA1c) glycemic control of the same patients was found to be ideal (HbA1c: <7%) at 26%, good (7.1 – 7.9%) at 12.7% and fair (8.0 – 8.9%) at 10.2%. The correlation between glycated hemoglobin and random blood glucose was r= 0.66, p<0.05. It is necessary to perform the two tests in combination for monitoring and evaluation of severity during point of care testing for better management of diabetes mellitus.
Authors and Affiliations
Kibebe, Herbert W*| Department of Medical Laboratory Sciences, School of Medicine & Health Sciences, Kenya Methodist University, P.O Box 267, Meru Kenya, Gathumbi Peter K| Department of Veterinary Pathology, Microbiology and Parasitology, Faculty of Veterinary Medicine, College of Agriculture and Veterinary Sciences, University of Nairobi, P.O Box 29053 – 00625 Nairobi, Kenya, Kigondu Christine S| Department of Human Pathology, University of Nairobi P.O Box 19676, Nairobi, Kenya, Mbuthia P. Gichohi| Department of Veterinary Pathology, Microbiology and Parasitology, Faculty of Veterinary Medicine, College of Agriculture and Veterinary Sciences, University of Nairobi, P.O Box 29053 – 00625 Nairobi, Kenya, Karioki Jane. W| Kenyatta National Hospital, Nairobi, Kenya
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