- A Comparison of Fasting Glucose and HbA1c for the Diagnosis of Diabetes Mellitus Among Korean Adults.
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Woo Jun Yun, Min Ho Shin, Sun Seong Kweon, Kyeong Soo Park, Young Hoon Lee, Hae Sung Nam, Seul Ki Jeong, Yong Woon Yun, Jin Su Choi
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J Prev Med Public Health. 2010;43(5):451-454.
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DOI: https://doi.org/10.3961/jpmph.2010.43.5.451
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- OBJECTIVES
The American Diabetes Association (ADA) has recently recommended the HbA1c assay as one of four options for making the diagnosis of diabetes mellitus, with a cut-point of > or =6.5%. We compared the HbA1c assay and the fasting plasma glucose level for making the diagnosis of diabetes among Korean adults. METHODS: We analyzed 8710 adults (age 45-74 years), who were not diagnosed as having diabetes mellitus, from the Namwon study population. A fasting plasma glucose level of > or =126 mg/dL and an A1c of > or =6.5% were used for the diagnosis of diabetes. The kappa index of agreement was calculated to measure the agreement between the diagnosis based on the fasting plasma glucose level and the HbA1c. RESULTS: The kappa index of agreement between the fasting plasma glucose level and HbA1c was 0.50. CONCLUSIONS: The agreement between the fasting plasma glucose and HbA1c for the diagnosis of diabetes was moderate for Korean adults.
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Citations
Citations to this article as recorded by  - Analytical Performance of Bio-Rad D-100 on a Hemoglobin A1c Assay
Changseung Liu, Eunhye Choi, In Cheol Bae, Sang-Guk Lee, Jeong-Ho Kim
Laboratory Medicine Online.2017; 7(2): 59. CrossRef - Epidemiological ramifications of diagnosing diabetes with HbA1c levels
Mayer B. Davidson, Deyu Pan
Journal of Diabetes and its Complications.2014; 28(4): 464. CrossRef - COMPARATIVE STUDY OF GLYCOSYLATED HAEMOGLOBIN WITH BLOOD GLUCOSE LEVELS IN THE DIAGNOSIS OF DIABETES MELLITUS
Kavya S T, Nagaraja B S, Akila V, Chandra Mohan G, Prakash Kikker Gowdaiah
Journal of Evolution of Medical and Dental Sciences.2014; 3(23): 6435. CrossRef - An Emerging Diabetes Mellitus Diagnosis Modality: HbA1c
Hyun-Ae Seo, In-Kyu Lee
The Korean Journal of Internal Medicine.2012; 27(1): 39. CrossRef - Evaluation of the Performance of ARKRAY ADAMS HA-8180 HbA1cAnalyzer
Jinsook Lim, Ji-Myung Kim, Sun Hoe Koo, Kye Chul Kwon
Laboratory Medicine Online.2012; 2(3): 126. CrossRef - Discordance between HbA1c and fasting plasma glucose criteria for diabetes screening is associated with obesity and old age in Korean individuals
Jin Hwa Kim, Ji Hye Shin, Hae Jung Lee, Sang Yong Kim, Hak Yeon Bae
Diabetes Research and Clinical Practice.2011; 94(2): e27. CrossRef - Relationship between Glycemic Control and Diabetic Retinopathy
Woo-Jun Yun
Journal of the Korean Geriatrics Society.2010; 14(4): 234. CrossRef
- Management of Diabetic Mellitus in Low-income Rural Patients.
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Hye Yeon Kim, Woo Jun Yun, Min Ho Shin, Sun Seong Kweon, Hye Ran Ahn, Seong Woo Choi, Young Hoon Lee, Dong Hyeok Cho, Jung Ae Rhee
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J Prev Med Public Health. 2009;42(5):315-322.
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DOI: https://doi.org/10.3961/jpmph.2009.42.5.315
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5,469
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70
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- OBJECTIVES
Knowledge about the management status of diabetic melitus (DM) is essential to improve diabetic management. Moreover, low income is associated with poor adherence to treatment and increased mortality. This study was performed to evaluate the management status of DM in low-income patients in a rural area. METHODS: We enrolled 370 patients with type 2 DM living in Gokseong county, JeollaNamdo. A well-trained examiner measured the height, weight, waist circumference, blood pressure, total cholesterol, triglyceride, high density lipoprotein cholesterol, fasting blood sugar and glycosylated hemoglobin (HbA1c) levels. Carotid ultrasonography was used to measure carotid artery carotid artery intima media thickness (IMT) and plaque. ankle-brachial index (ABI) was used to evaluate peripheral artery disease. A fundoscopic examination was performed to evaluate diabetic retinopathy. A history of diabetes complications and health-related questionnaires were also completed. RESULTS: The age of diabetic subjects was 68.7+/-8.7 years and the duration of diabetes was 8.9+/-8.2 years. Most (63.5%) had hypertension, and 45.7% had triglycerides below 150 mg/dl, 38.1% had low density lipoprotein cholesterol (LDL) cholesterol below 100 mg/dl, 48.7% had urine albumin to creatinine ratio (UACR) below 30 mg/g. Less than half (45.9%) achieved the goal of HbA1c less than 7% suggested by the American Diabetes Association (ADA). 10.6% had peripheral vascular disease, 11.9% had retinopathy, and 60.8% had chronic kidney disease. CONCLUSIONS: DM management in low income patients is very poor and requires further work to improve.
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Summary
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Citations
Citations to this article as recorded by - Comparison of Health Status in Primary Care Underserved Area Residents and the General Population in Korea
Min So Kim, Kyae Hyung Kim, Sang Min Park, Jong-goo Lee, Yeon Seo Ko, A Ra Cho, Yoon Su Ku
Korean Journal of Family Medicine.2020; 41(2): 119. CrossRef - The Influence of Health Literacy and Diabetes Knowledge on Diabetes Self-care Activities in Korean Low-income Elders with Diabetes
Jihye Jeong, Namhee Park, So Young Shin
Journal of Korean Academy of Community Health Nursing.2014; 25(3): 217. CrossRef - Group Classification on Management Behavior of Diabetic Mellitus
Sung-Hong Kang, Soon-Ho Choi
Journal of the Korea Academia-Industrial cooperation Society.2011; 12(2): 765. CrossRef - Relationship between Glycemic Control and Diabetic Retinopathy
Woo-Jun Yun
Journal of the Korean Geriatrics Society.2010; 14(4): 234. CrossRef
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