Comparison of the Characteristics of Patients with diabetes as Diagnosed Using Three Different Tests
Laboratory Medicine Online
;
: 71-76, 2014.
Artículo
en Coreano
| WPRIM
| ID: wpr-183196
ABSTRACT
BACKGROUND:
Diabetes diagnosis can be made using different laboratory tests, including the fasting plasma glucose (FPG) test, 75-g 2-h oral glucose tolerance test (2-h OGTT), and hemoglobin A1c (HbA1c) test; however, these tests have different meanings. This study aimed at comparing patient characteristics based on the diagnosis using each of these 3 tests.METHODS:
A total of 750 adults suspected of having diabetes and aged > or =18 years underwent the following tests on the same day FPG, 2-h OGTT, HbA1c, insulin, general chemistry, and routine urinalysis. The patients were divided into 8 groups based on the combination of positive and negative results of each of the 3 tests, and the characteristics of the patients were compared among groups.RESULTS:
In the group that tested positive for all 3 tests, the FPG, 2-h OGTT, HbA1c, homeostasis model assessment for insulin resistance, alanine transaminase, triglyceride, and urine glucose positive values were higher than those of the group that tested positive using the 2-h OGTT and HbA1c test. In the group that tested positive using the 2-h OGTT, blood urea nitrogen was higher than that of the group that tested positive using the HbA1c test.CONCLUSIONS:
The characteristics of the patients differed between the tests that yielded positive diagnostic results. This may be related to the fact that the 3 tests indicate different states of glucose metabolism. The results of the 3 tests were significantly different; therefore, it may be more effective to combine the results of the 3 tests to comprehensively describe patient characteristics.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Triglicéridos
/
Glucemia
/
Nitrógeno de la Urea Sanguínea
/
Resistencia a la Insulina
/
Química
/
Ayuno
/
Urinálisis
/
Diabetes Mellitus
/
Diagnóstico
/
Alanina Transaminasa
Tipo de estudio:
Estudio diagnóstico
/
Estudio pronóstico
Límite:
Adulto
/
Humanos
Idioma:
Coreano
Revista:
Laboratory Medicine Online
Año:
2014
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS