Fasting Plasma Gglucose and Glycosylated Hemoglobin Levels in Mass Screening / 日本農村医学会雑誌

ABSTRACT

We examined values of fasting plasma glucose (FPG) and glycosylated hemoglobin (HbA<SUB>1c</SUB>) in 8, 870 subjects who underwent the mass screening conducted by Naganoken Koseiren Kenkokanri Center. The mean values of FPG and HbA<SUB>1c</SUB> were 95.3±15.0mg/dl, and 5.12±0.50%. Both values increased significantly withage. FPG was correlated significantly with HbA<SUB>1c</SUB>. Neither age nor body mass index wasrelated with HbA<SUB>1c</SUB> statistically. 60.8% of the cases of the HbA<SUB>1c</SUB> value of 5.8 werediagnosed as impaired fasting glucose (IFG) or diabetes mellitus (DM). 68.7% of the cases of at the HbA<SUB>1c</SUB> value of 5.9 were in normal FPG range. In a mass screening, diagnosis of IFG or DM by FPG value is easy and lessens a burden of those who take on a group checkup. But diagnosis by FPG level may bring about excess diabetic patients who arehealthy. So diagnosis of IFG or DM in a mass screening should be made by both FPG and HbA<SUB>1c</SUB> values instead of FPG alone.