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학술저널
저자정보
정한나 (가톨릭대학교 의과대학 여의도성모병원 내과) 권혁상 (가톨릭대학교) 백기현 (가톨릭대학교) 송기호 (가톨릭대학교) 김미경 (가톨릭대학교)
저널정보
대한내분비학회 Endocrinology and Metabolism Endocrinology and Metabolism Vol.35 No.2
발행연도
2020.1
수록면
377 - 383 (7page)

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Background: Discordances between glycated hemoglobin (HbA1c) levels and glycemic control are common in clinical practice. We aimed to investigate the consistency of the glycation gap with the hemoglobin glycation index (HGI). Methods: From 2016 to 2019, 36 patients with type 2 diabetes were enrolled. HbA1c, glycated albumin (GA), and fasting bloodglucose levels were simultaneously measured and 72-hour continuous glucose monitoring (CGM) was performed on the same day. Repeated tests were performed at baseline and 1 month later, without changing patients’ diabetes management. The HGI was calculated as the difference between the measured HbA1c and the predicted HbA1c that was derived from CGM. The glycation gap wascalculated as the difference between the measured and GA-based predicted HbA1c levels. Results: Strong correlations were found between the mean blood glucose (MBG)-based HGI and the prebreakfast glucose-basedHGI (r=0.867, P<0.001) and between the glycation gap and the MBG-based HGI (r=0.810, P<0.001). A close correlation wasfound between the MBG-based HGI at baseline and that after 1 month (r=0.729, P<0.001), with a y-intercept of 0 and a positiveslope. Conclusion: The HGI and glycation gap were highly reproducible, and the magnitudes of repeated determinations were closely correlated. Patients with similar mean glucose levels may have significantly different HbA1c levels.

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