Assessing Glycemic Control: Fasting / Postprandial, which one is better? - Couverture souple

Muhamad, Rosediani; AK, Azidah; M, Mafauzy

 
9783639328936: Assessing Glycemic Control: Fasting / Postprandial, which one is better?
Couverture souple
ISBN 10 : 3639328930 ISBN 13 : 9783639328936
Editeur : VDM Verlag Dr. Müller, 2011

Synopsis

Glycaemic control is an important aspect in managing diabetes in order to prevent its complications .The study objectives were to compare the glycaemic control in patients monitored by fasting plasma glucose (FPG) and 2 hours postprandial glucose (PPG),determine the correlation between FPG and PPG with HbA1c and fructosamine and the factors associated with the control. FPG,HbA1c and fructosamine was drawn at 0 hour and PPG was drawn after 2 hours taking a standard breakfast. After 6 months,out of 82 patients (41 PPgroup, 39 FGgroup), 58.5% subjects in PP and 43.6% in FG were having good control of HbA1c. There was significant difference in mean glycaemic control (HbA1c and Fructosamine) between both groups(p=0.029, p=0.034).Both PPG and FPG significantly correlated with HbA1c and fructosamine but PPG showed better correlation to HbA1c than FPG (r= 0.604 vs.0.575).The sensitivity, specificity and PPV of PPG were 75%, 80.6% and 82.5% whereas FPG were 81.8%, 58.3% and 70.6% respectively. Factors associated with glycaemic control include age, number of OHA and without nephropathy.Thus, PPG predicted overall glycaemic control better than FPG.

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Présentation de l'éditeur

Glycaemic control is an important aspect in managing diabetes in order to prevent its complications .The study objectives were to compare the glycaemic control in patients monitored by fasting plasma glucose (FPG) and 2 hours postprandial glucose (PPG),determine the correlation between FPG and PPG with HbA1c and fructosamine and the factors associated with the control. FPG,HbA1c and fructosamine was drawn at 0 hour and PPG was drawn after 2 hours taking a standard breakfast. After 6 months,out of 82 patients (41 PPgroup, 39 FGgroup), 58.5% subjects in PP and 43.6% in FG were having good control of HbA1c. There was significant difference in mean glycaemic control (HbA1c and Fructosamine) between both groups(p=0.029, p=0.034).Both PPG and FPG significantly correlated with HbA1c and fructosamine but PPG showed better correlation to HbA1c than FPG (r= 0.604 vs.0.575).The sensitivity, specificity and PPV of PPG were 75%, 80.6% and 82.5% whereas FPG were 81.8%, 58.3% and 70.6% respectively. Factors associated with glycaemic control include age, number of OHA and without nephropathy.Thus, PPG predicted overall glycaemic control better than FPG.

Biographie de l'auteur

Dr. Rosediani Muhamad obtained her MD (1997)from Universiti Sains Malaysia and completed her Master of Medicine (Family Medicine) in 2005 from the same university . Currently she is a senior lecturer in Family Medicine Department, School of Medical Sciences, USM with special interest in diabetes mellitus, CVD diseases and women's health.

Les informations fournies dans la section « A propos du livre » peuvent faire référence à une autre édition de ce titre.

Éditeur
VDM Verlag Dr. Müller
Date d'édition
2011
Langue
anglais
ISBN 10 
3639328930
ISBN 13 
9783639328936
Reliure
Broché
Nombre de pages
104
Coordonnées du fabricant
non disponible
Personne responsable
non disponible