A Comparison of Fasting Glucose and HbA1c for the Diagnosis of Diabetes Mellitus Among Korean Adults.

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

doi:10.3961/jpmph.2010.43.5.451

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Brief Communication A Comparison of Fasting Glucose and HbA1c for the Diagnosis of Diabetes Mellitus Among Korean Adults.: 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; Journal of Preventive Medicine and Public Health 2010;43(5):451-454
DOI: https://doi.org/10.3961/jpmph.2010.43.5.451

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¹Department of Preventive Medicine, Chonnam National University Medical School, Korea. mhshinx@paran.com
²Jeonman Regional Cancer Center, Chonnam National University Hwasun Hospital, Korea.
³Department of Preventive Medicine, Seonam University College of Medicine, Korea.
⁴Gwangju-Jeonnam Regional Cardiocerebrovascular Center, Chonnam National University Hospital, Korea.
⁵Department of Preventive Medicine, Chungnam national University College of Medicine, Korea.
⁶Department of Neurology, Chonbuk National University Medical School, Korea.

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Abstract

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.

Keywords: Diabetes mellitus Diagnosis Fasting plasma glucose Hemoglobin A1c

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