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Discordance between fasting glucose-based and hemoglobin A1c-based diagnosis of diabetes mellitus in Koreans
- Issue Date
- Jan-2011
- Publisher
- Elsevier BV
- Keywords
- Diabetes mellitus; Diagnostic criteria; Fasting plasma glucose; Hemoglobin A1c; Prevalence
- Citation
- Diabetes Research and Clinical Practice, v.91, no.1, pp E8 - E10
- Journal Title
- Diabetes Research and Clinical Practice
- Volume
- 91
- Number
- 1
- Start Page
- E8
- End Page
- E10
- ISSN
- 0168-8227
1872-8227
- Abstract
- We analyzed data of 35,624 non-diabetic Koreans using fasting plasma glucose (FPG) criteria and HbA1c criteria in screening for diabetes. Among the 1,491 subjects newly diagnosed with diabetes, 473 (31.6%) met the FPG criteria only (>= 7.0 mmol/l), 350 (23.5%) met HbA1c criteria only (>= 6.5%), and 668 (44.9%) met both criteria. The DM-by-HbA1c group had significantly older age, higher proportion of women, and lower hemoglobin concentration. The DM-by-FPG group had higher systolic and diastolic blood pressure, fasting serum insulin, and HOMA-IR. Further studies are needed to determine which of these criteria is superior in predicting the risks of long-term vascular complications of diabetes. (C) 2010 Elsevier Ireland Ltd. All rights reserved.
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Related Researcher
- Kim, Chul Hee
- College of Medicine (Department of Internal Medicine)