Çok Yüksek HbA1c Değerlerinin Diyabetik Komplikasyonlarla İlişkisinin Değerlendirilmesi

Öz

Amaç: Bu çalışmada çok yüksek HbA1c değerlerinin diyabetik komplikasyonlarla ilişkisini incelemeyi amaçladık. Yöntemler: Ocak 2008 ve Haziran 2009 tarihleri arasında Dicle Üniversitesi Tıp Fakültesi Endokrinoloji Kliniği’nde diyabetes mellitus tanısı ile takip edilen, HbA1c değeri %12 ve üzerinde olan 80 hasta (50 tip 2 DM ve 30 tip 1 DM) ile HbA1c değeri %7 ve altında olan 80 hasta (50 tip 2 DM ve 30 tip1 DM) diyabetin komplikasyonları açısından karşılaştırıldı. Bulgular: HbA1c değeri %12 ve üzerinde olan hastalarda retinopati, duyusal nöropati, motor nöropati ve otonom nöropati HbA1c değeri %7 ve altında olan hastalara göre daha yüksek bulundu (p<0.01). Çok yüksek HbA1c değeri olan hastalarda mikroalbüminüri ve makroalbüminüri daha yüksek oranda bulundu (p<0.01). Düzeltilmiş QT aralığı süresinde uzama (>420 msn) çok yüksek HbA1c değerleri olan hastalarda anlamlı olarak daha yüksek saptandı (p<0.01). Sonuç: Kesitsel olarak bakılan çok yüksek HbA1c değerleri diyabetin komplikasyonları ile ilişkili bulundu. Üç aylık ortalama kan şekerinin takibinde önemli olan HbA1c diyabetin uzun dönem komplikasyonlarının izlemi açısından da önemli bir parametredir.

Anahtar Kelimeler

• Diyabetes mellitus
• HbA1c
• komplikasyon.

Kaynakça

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