Discordance between fasting glucose-based and hemoglobin A1c-based diagnosis of diabetes mellitus in Koreans.

Kim, Chul-Hee; Kim, Hong-Kyu; Bae, Sung-Jin; Park, Joong-Yeol; Lee, Ki-Up
Diabetes research and clinical practice
2011Jan ; 91 ( 1 ) :e8-e10.
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Kim, Chul-Hee -
Kim, Hong-Kyu -
Bae, Sung-Jin -
Park, Joong-Yeol -
Lee, Ki-Up -
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 (??.0mmol/l), 350 (23.5%) met HbA1c criteria only (??.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. CI - 2010 Elsevier Ireland Ltd. All rights reserved.
Diabetes mellitus; Diagnostic criteria; Fasting plasma glucose; Hemoglobin A1c; Prevalence
MESH
Adult, Aged, Aged, 80 and over, Aging, Anemia/complications/epidemiology, Blood Glucose/*analysis, Diabetes Complications/epidemiology, Diabetes Mellitus/*blood/*diagnosis/epidemiology, Female, Hemoglobin A, Glycosylated/*analysis, Humans, Hypertension/complications/epidemiology, Insulin Resistance, Male, Middle Aged, Prevalence, Preventive Health Services, Republic of Korea/epidemiology, Retrospective Studies, Sex Characteristics, Young Adult
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There is a significant discordance between FPG- and HbA1c-based criteria in diagnosing diabetes mellitus.
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DOI
10.1016/j.diabres
KCDÄÚµå
ICD 03
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