ความสัมพันธ์ระหว่างระดับฮีโมโกลบินเอวันซีกับระดับกลูโคสจากพลาสมา ขณะอดอาหารของผู้ป่วยโรคเบาหวานในโรงพยาบาลนครชัยศรี

บทคัดย่อ

Objective : To study correlation between Hemoglobin A_1C level and fasting plasma glucose level, and to compare of glucose plasma level between patient plasma and that calculate from Hemoglobin A_1C.

Method : A Cross-sectional (Prevalence) Descriptive Study. Data was collected from OPD card of Nakhonchaisi Hospital during 1 January 2007 to 29 February 2008 and data was analyzed by Correlationl coefficient, Paired-Samples T-Test.

Results : Eight hundreds and twelve diabetic patients were recruited. The average age of patients was 61 years. The mean of diabetic time was 6.6 years. The mean Hemoglobin A_1c level was 7.5% and the mean of fasting plasma glucose was 153.42 mg/dl. 44.7% of patient had Hemoglobin A_1c <7% and 55.3% of patient had Hemoglobin A_1c > 7%, 34.24% of patients had fasting plasma glucose < 130 mg/dl. And 65.76% of patient had fasting plasma glucose >130 mg/dl Correlation coefficient (r) between Hemoglobin A_1c and fasting plasma glucose was low and significant correlate (r = 0.433, p < 0.001). The glucose plasma level from patient plasma (mean 153.42 mg/dl) and that calculate from Hemoglobin A_1c (mean 188.00 mg/dl) was significant different. (p < 0.001)

Conclusion : The correlation between Hemoglobin A_1c and fasting plasma glucose was low and significant correlate. The glucose plasma level from patient plasma and that calculate from Hemoglobin A_1c was significant different. Both Hemoglobin A_1c and fasting plasma glucose should be used to evaluate and monitor for diabetic patients.