Comparison between Glycated Hemoglobin and Blood Glucose in Monitoring Diabetic Patients at Point of Care Testing
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Date
2013Author
Karioki, Jane W
Mbuthia, P Gichohi
Kigondu, Christine
Gathumbi, Peter K
Kibebe, Herbert W
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
Point of care testing is a mode of testing where immediate laboratory tests are performed on the patient at the
site where healthcare is provided close to the patient. Diabetes mellitus type 1 and 2 can be monitored using point of
care kits for random blood glucose and glycated hemoglobin. The aim of the study was to compare point of care kits for
random blood glucose with that of glycated hemoglobin in monitoring diabetes mellitus.
A purposeful randomized study was carried out at the Nyeri Provincial General Hospital on 157 patients
attending diabetes clinic. On monitoring random blood glucose of these patients ranged from 3.0 - 36.1mmoI/L. 31.3%,
24.2% and 43.9% of the patients had controlled borderline and uncontrolled diabetes mellitus in all age groups. Glycated
hemoglobin (HbA1c) glycemic control of the same patients was found to be ideal (HbA1c: <7%) at 26%, good (7.1-7.9%)
at 12.7% and fair (8.0 - 8.9%) at 10.2%. The correlation between glycated hemoglobin and random blood glucose was r=
0.66, p<0.05.
It is necessary to perform the two tests in combination for monitoring and evaluation of severity during point of
care testing for better management of diabetes mellitus.
Publisher
University of Nairobi