Relationship between Hba1c and blood glucose level in hemodialysis patients with diabetes mellitus
Journal Title: Dicle Tıp Dergisi - Year 2013, Vol 40, Issue 4
Abstract
Objective: Within in the scope of this study, a research was aimed at the relationship between HbA1c markers and blood glucose levels with DM, chronic renal failure and receiving dialysis treatment. Methods: In this study, monthly glucose levels and quarterly HbA1c markers of 131 patients (53 female, 78 male) receiving dialysis treatment in a private dialysis center between January 1, 2009-July 31, 2010 were evaluated retrospectively. Results: The average age of 131 cases was 63.3±11.2 years (range, 30-91). Gender distribution of the cases: 53 female (40.5%), 78 male (59.5%). While the age average of the females was 62.2±11.2 and the males' was 64.1±11.2. The average glucose level of the females and males have a correlation to average HbA1c (Female: p<0.001, r=0.761, Males: p<0.001, r=0.743). The average glucose level of the both case groups have a correlation to average HbA1c (p<0.001, r=0.755). While 32.8% of the examined HbA1c results were observed under the level 6,5%, and 67.2% of the examined results were observed above the level 6.5%. While 18.3% of the pre-prandial blood glucose levels were obtained under 126 mg/dl level, and 81.3% of the results were obtained above 126 mg/dl level. It has been observed that the mean blood glucose level has a correlation to average HbA1c level. Conclusion: The measurement of HbA1c and blood glucose (pre-prandial and postprandial) and the correlation between them, by virtue of the fact that, are vitally important in cardiovascular mortality and morbidity, monitor of DM for the dialysis patients with diabetic nephropathy. Key words: Hemodialysis, diabetes mellitus, HbA1c
Authors and Affiliations
Sedat Motor, Recep Dokuyucu, Fatih Sefil, M. Murat Rifaioğlu, Erhan Yengil, Kemal Ulutaş, Ahmet Sümbül, Hatice Rızaoglu, İhsan Üstün, Cumali Gökçe
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