Author/Authors :
Motor, Sedat Mustafa Kemal Üniversitesi - Tıp Fakültesi - Biyokimya Anabilim Dalı, Turkey , Dokuyucu, Recep Mustafa Kemal Üniversitesi - Tıp Fakültesi - Fizyoloji AD, Türkiye , Sefil, Fatih Mustafa Kemal Üniversitesi - Tıp Fakültesi - Fizyoloji AD, Türkiye , Rifaioğlu, M. Murat Mustafa Kemal Üniversitesi - Tıp Fakültesi - Üroloji AD, Türkiye , Yengil, Erhan Mustafa Kemal University - Faculty of Medicine - Department of Family Medicine, Turkey , Ulutaş, Kemal Türker Mustafa Kemal Üniversitesi - Tıp Fakültesi - Biyokimya AD, Türkiye , Sümbül, Ahmet Taner Mustafa Kemal Üniversitesi - Tıp Fakültesi - Hastalıkları AD, Onkoloji BD, Türkiye , Rızaoglu, Hatice Mustafa Kemal Üniversitesi - Tıp Fakültesi - Hastalıkları AD, Türkiye , Üstün, İhsan Mustafa Kemal Üniversitesi - Tıp Fakültesi - Hastalıkları Endokrinoloji ve Metabolizma Hastalıkları BD, Türkiye , Gökçe, Cumali Mustafa Kemal Üniversitesi - Tıp Fakültesi - Hastalıkları Endokrinoloji ve Metabolizma Hastalıkları BD, Türkiye
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.
