Research Article
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Year 2024, Volume: 6 Issue: 1, 7 - 12, 02.05.2024
https://doi.org/10.55994/ejcc.1427619

Abstract

References

  • 1. Erdoğan G (eds). Endokrinoloji Temel ve Klinik 2. baskı. Medi- kal ve nobel tıp kitabevi. Ankara. 2005
  • 2. Larsen PR, Kronenberg HM, Melmed S, Polonsky KS (eds). Wil- liams Textbook of Endocrinology. 10th ed. Phidelphia. 2003
  • 3. Kahn CR, Weir GC, King GL, Jacobson AM, Moses AC, Smith RJ (eds). Joslin’s Diabetes Mellitus. 14th ed. Lippincott W&W. Boston, MA; 2005.
  • 4. İliçin G, Biberoğlu K, Süleymanlar G, Ünal S (eds). İç hastalıkla- rı.2. cilt. 2 baskı. Güneş kitabevi. Ankara. 2005
  • 5. American Diabetes Association 6.Glycemic Targets: Stan- dards of Medical Care in Diabetes 2021 Diabetes Care 2021;44(Suppl. 1):S73–S84 https://doi.org/10.2337/ dc21-S006
  • 6. Devoto G, Gallo F, Marchello C, Racchi O, Garbarini R, Bonassi S. et al. Prealbumin serum concentrations as a useful tool in the assessment of malnutrition in hospitalized patients. Clin Chem. 2006;52:2281-5.
  • 7. Beck FK, Rosenthal TC. Prealbumin: a marker for nutritional evaluation. Am Fam Physician. 2002;15;65(8):1575-78.
  • 8. Lee KH, Cho JH, Kwon O, Kim SU, Kim RH, Cho YW. et al. Low prealbumin levels are independently associated with higher mortality in patients on peritoneal dialysis. Kidney Res Clin Pract. 2016;35(3):169-75.
  • 9. Gough S, Manlev S, Stratton I (eds). HbA1c in Diabetes: Case studies using IFCC units. March Wiley-Blackwell;2010
  • 10. Cefalu WT (eds). American Diabetes Association Standards of Medical Care in Diabetes. 2016. Available from: http://care. diabetesjournals.org/content/suppl/2015/12/21/39.Supple- ment_1 .DC2/2016 Standards-of-Care.pdf
  • 11. Kagansky N, Levy S, Rimon E, Cojocaru L, Fridman A, Ozer Z, Knobler H. Hypoglycemia as a predictor of mortality in hospitalized elderly patients. Arch Intern Med. 2003;11- 25;163(15):1825-29.
  • 12. Kumar JG, Abhilash KP, Saya RP, Tadipaneni N, Bose JM. A ret- rospective study on epidemiology of hypoglycemia in Emer- gency Department. Indian J Endocrinol Metab. 2017; 21(1): 119–24.
  • 13. Eren SH, Caliskan HM, Kilicli F, Korkmaz I, Acibucu F, Dokme- tas HS. Etiologies of patients admitted to emergency depart- ment with hypoglycemia. Sci Res Essays. 2010;5:1479–82.
  • 14. Leese GP, Wang J, Broomhall J, Kelly P, Marsden A, Morrison W. et al. Frequency of severe hypoglycemia requiring emer- gency treatment in type 1 and type 2 diabetes: A populati- on-based study of health service resource use. Diabetes Care. 2003;26:1176–80
  • 15. Güven M, Bayram F, Güven K, Keleştimur F. Evaluation of patients admitted with hypoglycemia to a teaching hospital in Central Anatolia. Postgrad Med J. 2000;76(893):150-2.
  • 16. Ginde AA, Pallin DJ, Camargo CA. Hospitalizasyon and dis- charge education of emergency department patients with hypoglycemia. Diabetes Educ. 2008;34(4):683-91.
  • 17. Nassar DT, Habib OS, Mansour AA. Predictors of hypoglyce- mia in insulin-treated patients with type 2 diabetes mellitus in Basrah. World J Diabetes.2016;15:7(18):470-80.
  • 18. Kyle UG, Genton L, Heidegger CP, Maisonneuve N, Karse- gard VL, Huber O. et al. Hospitalized mechanically ventila- ted patients are at higher risk of enteral underfeeding thannon-ventilated patients. Clin Nutr. 2006 19. Forga L, Bolado F, Goñi MJ, Tamayo I, Ibáñez B, Prieto C. Low Serum Levels of Prealbumin, Retinol Binding Protein, and Re- tinol Are Frequent in Adult Type 1 Diabetic Patients. J Diabe- tes Res. 2016: 2532108.
  • 20. De Luis DA, Izaola O, de la Fuente B, Terroba MC, Cuellar L, Cabezas G. A randomized clinical trial with two doses of an enteral diabetes-specific suplements in elderly patients with diabetes mellitus type 2. Eur Rev Med Pharmacol Sci 2013;17(12):1626-30.
  • 21. Gannon MC, Hoover H, Nuttall FQ. Further decrease in glyca- ted hemoglobin following ingestion of a LoBAG30 diet for 10 weeks compared to 5 weeks in people with untreated type 2 diabetes. Nutr Metab (Lond).2010;29;7:64.
  • 22. Munshi MN, Slyne C, Segal AR, Saul N, Lyons C, Weinger K. Liberating A1C goals in older adults may not protect against the risk of hypoglycemia. J Diabetes Complications. 2017.
  • 23. Albrecht D, Puder J, Keller U, Zulewski H. Potential of educati- on-based insulin therapy for achievement of good metabolic control: A real-life experience. Diabet Med. 2011;28:539–42.
  • 24. Davis TM, Brown SG, Jacobs IG, Bulsara M, Bruce DG, Davis WA. Determinants of severe hypoglycemia complicating type 2 diabetes: The Fremantle diabetes study. J Clin Endoc- rinol Metab. 2010;95:2240–7
  • 25. Mahmoodpoor A, Hamishehkar H, Beigmohammadi M, Sa- naie S, Shadvar K, Soleimanpour H. et al. Predisposing Fac- tors for Hypoglycemia and Its Relation With Mortality in Cri- tically Ill Patients Undergoing Insulin Therapy in an Intensive Care Unit. Published online 2016.
  • 26. Yu S, Fu AZ, Engel SS, Shankar RR, Radican L. Association between hypoglycemia risk and hemoglobin A1C in patients with type 2 diabetes mellitus. Curr Med Res Opin. 2016;32(8):1409-16.

Relationship Between Glucose, Prealbumin, and HbA1c in Hypoglycemic Patients

Year 2024, Volume: 6 Issue: 1, 7 - 12, 02.05.2024
https://doi.org/10.55994/ejcc.1427619

Abstract

Background: To investigate whether there is a relationship between glucose values and prealbumin and HbA1c in hypoglycemic patients and to determine their use as predictive values in minimizing hypoglycemic episodes or determining the measures to be taken.
Material and Methods: The study included 200 patients admitted to the emergency department within 1 year. Age, gender, complaints, presence of chronic disease history, nutritional status, glucose, prealbumin and HbA1c values were recorded.
Results: In our study, no significant difference was found between the mean ages of the case group and the control group (p>0.05). Gender distributions were similar. Blood glucose levels were significantly lower and HbA1c levels were significantly higher in the case group (p˂0.05). No significant difference was found when prealbumin values were compared (p>0.05). Patients presenting with hypoglycemic attacks were more likely to have moderate or poor nutritional status (p˂0.05).
Conclusıons: We found that HbA1c value was high and prealbumin value was low in hypoglycemic patients. This shows that nutrition is one of the important criteria as well as drug use in diabetic patients, especially in terms of hypoglycemia risk.

References

  • 1. Erdoğan G (eds). Endokrinoloji Temel ve Klinik 2. baskı. Medi- kal ve nobel tıp kitabevi. Ankara. 2005
  • 2. Larsen PR, Kronenberg HM, Melmed S, Polonsky KS (eds). Wil- liams Textbook of Endocrinology. 10th ed. Phidelphia. 2003
  • 3. Kahn CR, Weir GC, King GL, Jacobson AM, Moses AC, Smith RJ (eds). Joslin’s Diabetes Mellitus. 14th ed. Lippincott W&W. Boston, MA; 2005.
  • 4. İliçin G, Biberoğlu K, Süleymanlar G, Ünal S (eds). İç hastalıkla- rı.2. cilt. 2 baskı. Güneş kitabevi. Ankara. 2005
  • 5. American Diabetes Association 6.Glycemic Targets: Stan- dards of Medical Care in Diabetes 2021 Diabetes Care 2021;44(Suppl. 1):S73–S84 https://doi.org/10.2337/ dc21-S006
  • 6. Devoto G, Gallo F, Marchello C, Racchi O, Garbarini R, Bonassi S. et al. Prealbumin serum concentrations as a useful tool in the assessment of malnutrition in hospitalized patients. Clin Chem. 2006;52:2281-5.
  • 7. Beck FK, Rosenthal TC. Prealbumin: a marker for nutritional evaluation. Am Fam Physician. 2002;15;65(8):1575-78.
  • 8. Lee KH, Cho JH, Kwon O, Kim SU, Kim RH, Cho YW. et al. Low prealbumin levels are independently associated with higher mortality in patients on peritoneal dialysis. Kidney Res Clin Pract. 2016;35(3):169-75.
  • 9. Gough S, Manlev S, Stratton I (eds). HbA1c in Diabetes: Case studies using IFCC units. March Wiley-Blackwell;2010
  • 10. Cefalu WT (eds). American Diabetes Association Standards of Medical Care in Diabetes. 2016. Available from: http://care. diabetesjournals.org/content/suppl/2015/12/21/39.Supple- ment_1 .DC2/2016 Standards-of-Care.pdf
  • 11. Kagansky N, Levy S, Rimon E, Cojocaru L, Fridman A, Ozer Z, Knobler H. Hypoglycemia as a predictor of mortality in hospitalized elderly patients. Arch Intern Med. 2003;11- 25;163(15):1825-29.
  • 12. Kumar JG, Abhilash KP, Saya RP, Tadipaneni N, Bose JM. A ret- rospective study on epidemiology of hypoglycemia in Emer- gency Department. Indian J Endocrinol Metab. 2017; 21(1): 119–24.
  • 13. Eren SH, Caliskan HM, Kilicli F, Korkmaz I, Acibucu F, Dokme- tas HS. Etiologies of patients admitted to emergency depart- ment with hypoglycemia. Sci Res Essays. 2010;5:1479–82.
  • 14. Leese GP, Wang J, Broomhall J, Kelly P, Marsden A, Morrison W. et al. Frequency of severe hypoglycemia requiring emer- gency treatment in type 1 and type 2 diabetes: A populati- on-based study of health service resource use. Diabetes Care. 2003;26:1176–80
  • 15. Güven M, Bayram F, Güven K, Keleştimur F. Evaluation of patients admitted with hypoglycemia to a teaching hospital in Central Anatolia. Postgrad Med J. 2000;76(893):150-2.
  • 16. Ginde AA, Pallin DJ, Camargo CA. Hospitalizasyon and dis- charge education of emergency department patients with hypoglycemia. Diabetes Educ. 2008;34(4):683-91.
  • 17. Nassar DT, Habib OS, Mansour AA. Predictors of hypoglyce- mia in insulin-treated patients with type 2 diabetes mellitus in Basrah. World J Diabetes.2016;15:7(18):470-80.
  • 18. Kyle UG, Genton L, Heidegger CP, Maisonneuve N, Karse- gard VL, Huber O. et al. Hospitalized mechanically ventila- ted patients are at higher risk of enteral underfeeding thannon-ventilated patients. Clin Nutr. 2006 19. Forga L, Bolado F, Goñi MJ, Tamayo I, Ibáñez B, Prieto C. Low Serum Levels of Prealbumin, Retinol Binding Protein, and Re- tinol Are Frequent in Adult Type 1 Diabetic Patients. J Diabe- tes Res. 2016: 2532108.
  • 20. De Luis DA, Izaola O, de la Fuente B, Terroba MC, Cuellar L, Cabezas G. A randomized clinical trial with two doses of an enteral diabetes-specific suplements in elderly patients with diabetes mellitus type 2. Eur Rev Med Pharmacol Sci 2013;17(12):1626-30.
  • 21. Gannon MC, Hoover H, Nuttall FQ. Further decrease in glyca- ted hemoglobin following ingestion of a LoBAG30 diet for 10 weeks compared to 5 weeks in people with untreated type 2 diabetes. Nutr Metab (Lond).2010;29;7:64.
  • 22. Munshi MN, Slyne C, Segal AR, Saul N, Lyons C, Weinger K. Liberating A1C goals in older adults may not protect against the risk of hypoglycemia. J Diabetes Complications. 2017.
  • 23. Albrecht D, Puder J, Keller U, Zulewski H. Potential of educati- on-based insulin therapy for achievement of good metabolic control: A real-life experience. Diabet Med. 2011;28:539–42.
  • 24. Davis TM, Brown SG, Jacobs IG, Bulsara M, Bruce DG, Davis WA. Determinants of severe hypoglycemia complicating type 2 diabetes: The Fremantle diabetes study. J Clin Endoc- rinol Metab. 2010;95:2240–7
  • 25. Mahmoodpoor A, Hamishehkar H, Beigmohammadi M, Sa- naie S, Shadvar K, Soleimanpour H. et al. Predisposing Fac- tors for Hypoglycemia and Its Relation With Mortality in Cri- tically Ill Patients Undergoing Insulin Therapy in an Intensive Care Unit. Published online 2016.
  • 26. Yu S, Fu AZ, Engel SS, Shankar RR, Radican L. Association between hypoglycemia risk and hemoglobin A1C in patients with type 2 diabetes mellitus. Curr Med Res Opin. 2016;32(8):1409-16.
There are 25 citations in total.

Details

Primary Language English
Subjects Emergency Medicine
Journal Section Original Articles
Authors

Bayram Palaz 0000-0003-3836-4187

Yeşim İşler 0000-0002-6389-5361

Halil Kaya 0000-0003-2005-6100

Publication Date May 2, 2024
Submission Date January 29, 2024
Acceptance Date March 25, 2024
Published in Issue Year 2024 Volume: 6 Issue: 1

Cite

AMA Palaz B, İşler Y, Kaya H. Relationship Between Glucose, Prealbumin, and HbA1c in Hypoglycemic Patients. Eurasian j Crit Care. May 2024;6(1):7-12. doi:10.55994/ejcc.1427619

Indexing and Abstracting

1493315074 2096820551208572097121274