首页> 美国卫生研究院文献>Journal of Diabetes Investigation >Critical discrepancy in blood glucose control levels evaluated by glycated albumin and estimated hemoglobin A1c levels determined from a flash continuous glucose monitoring system in patients with type 2 diabetes on hemodialysis
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Critical discrepancy in blood glucose control levels evaluated by glycated albumin and estimated hemoglobin A1c levels determined from a flash continuous glucose monitoring system in patients with type 2 diabetes on hemodialysis

机译:血糖对照水平的临界差异通过血糖连续葡萄糖监测系统确定血液透析2型糖尿病患者的闪光连续血糖监测系统确定的血糖对照水平

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摘要

We aimed to investigate if estimated hemoglobin A1c (eHbA1c) levels determined using a flash continuous glucose monitoring system could be an indicator of glycemic control status in hemodialysis patients with diabetes. Hemodialysis patients with type 2 diabetes were recruited. eHbA1c levels were measured using the FreeStyle Libre Flash Glucose Monitoring System®. A total of 18 hemodialysis patients with diabetes were included in the study. The eHbA1cGA – calculated based on glycated albumin level, and body mass index and serum hemoglobin concentration were also included in the formula – was higher than the eHbA1c in most patients. Furthermore, the eHbA1cGA – eHbA1c values were >2% in all patients with body mass index <18.5 kg/m2; the maximal value was 4.1%. This study shows that eHbA1c can be used as a reliable indicator for evaluating glycemic control and avoiding hypoglycemia in hemodialysis patients with diabetes, particularly those with decreased body mass index.
机译:我们旨在调查使用闪光连续葡萄糖监测系统确定的估计血红蛋白A1C(EHBA1C)水平可能是糖尿病患者血液透析患者血糖控制状态的指标。招募了血液透析患者2型糖尿病。使用自由式Libre Flash血糖监测系统进行测量EHBA1C水平。研究中共有18例糖尿病患者。基于糖化白蛋白水平的EHBA1CGA和体重指数和体重指数和血清血红蛋白浓度也包括在大多数患者中的EHBA1C中。此外,所有体重指数患者中的EHBA1CGA - EHBA1C值> 2%> 18.5千克/平方米;最大值为4.1%。本研究表明,EHBA1C可用作评估血糖对照和避免血液透析患者糖尿病患者的低血糖,特别是体重指数降低的指标。

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