Assessing Glycemic Control - Fasting / Postprandial, which one is better? (Paperback)

PMGlycaemic 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 FP

General

Imprint:	VDM Verlag
Country of origin:	Germany
Release date:	February 2011
First published:	February 2011
Authors:	Rosediani Muhamad • Azidah Ak • Mafauzy M
Dimensions:	229 x 152 x 6mm (L x W x T)
Format:	Paperback - Trade
Pages:	104
ISBN-13:	978-3-639-32893-6
Categories:	Books > Medicine > Clinical & internal medicine > General
LSN:	3-639-32893-0
Barcode:	9783639328936

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