Comparison of Disparities between FGM/CGM Sensor Glucose Values and Blood Glucose Values in Type 2 Diabetic Patients Admitted for Glycemic Control

Background: Diabetes mellitus has become one of the biggest health problems of this era. The resultant microvascular and macrovascular complications add to significant amount of morbidity and mortality. Urine microalbumin is considered as an early marker for microvascular complications among diabetic patients. The aim of this study was to find out the prevalence of microalbuminuria among type 2 diabetic patients attending Kathmandu Medical College and its relation with glycemic control, age, sex, duration of diabetes. Methods: A total of 208 previously diagnosed type 2 diabetic patients attending medical outpatient department of Kathmandu Medical College, Sinamangal were included in the study over a period of 1 year (October 2017 - September 2018). Fasting and 2-hour postprandial venous blood for blood glucose and HbA1c measurement and early morning urine sample (after overnight fast) was collected for detection of microalbuminuria. Statistical analysis was done using SPSS version 23. Results: The prevalence of microalbuminuria among the study population (mean age: 54.22 ± 11.76 years, mean HbA1c: 7.62 ± 1.53 %) was 42.8%. Microalbuminuria had significant correlation with HbA1c and duration of diabetes (p<0.001), but not with age, sex and type of medication. There was positive correlation between urine microalbumin and fasting and post-prandial blood glucose. Conclusions: Our present study found high prevalence of microalbuminuria among diabetic patients with poor glycemic control. It is suggested that tighter glycemic control with regular urine microalbumin testing should be integral part of diabetic management plan to prevent long term complications such as diabetic nephropathy

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Parameters of glycemic control in type 2 diabetic patients on hemodialysis or peritoneal dialysis: implications for clinical practice

Arquivos Brasileiros de Endocrinologia & Metabologia ◽

10.1590/s0004-27302013000600008 ◽

2013 ◽

Vol 57 (6) ◽

pp. 457-463 ◽

Cited By ~ 1

Author(s):

Maria Valeria Pavan ◽

Cibele Isaac Saad Rodrigues ◽

Ronaldo D'Ávila ◽

Enio Marcio Maia Guerra ◽

Ricardo Augusto de Miranda Cadaval ◽

...

Keyword(s):

Peritoneal Dialysis ◽

Blood Glucose ◽

Glycemic Control ◽

Capillary Blood ◽

Diabetic Patients ◽

Capillary Blood Glucose ◽

Type 2 Diabetic Patients ◽

The Relationship ◽

Type 2 Diabetic

OBJECTIVE: To better explore the relationship between parameters of glycemic control of T2DM in RRT, we studied 23 patients on hemodialysis (HD), 22 on peritoneal dialysis (PD), and compared them with 24 T2DM patients with normal renal function (NRF). MATERIALS AND METHODS: We performed, on four consecutive days, 10 assessments of capillary blood glucose [4 fasting, 2 pre- and 4 postprandial (post-G) and average (AG)], random glycemia, and HbA1c in all patients. RESULTS: Preprandial blood glucose was greater in patients on RRT compared with NRF. Correlations between AG and HbA1c were 0.76 for HD, 0.66 for PD, and 0.82 for NRF. The regression lines between AG and HbA1c were similar for patients on HD and with NFR, but they were displaced upward for PD. CONCLUSION: Similar HbA1c values in PD patients may correspond to greater levels of AG than in HD or NRF patients.

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