Please use this identifier to cite or link to this item: https://ir.swu.ac.th/jspui/handle/123456789/12730
ชื่อเรื่อง: Appropriateness of using tests for blood glucose and diabetic complications in clinical practice: Experiences in a hospital in Thailand
ผู้แต่ง: Lekskulchai V.
Keywords: albumin
creatinine
hemoglobin A1c
lipid
microalbumin
unclassified drug
creatinine
glycosylated hemoglobin
Article
blood glucose monitoring
cardiovascular disease
clinical practice
diabetes mellitus
diabetic nephropathy
diagnostic test
diagnostic test accuracy study
glucose blood level
human
hyperglycemia
hypoglycemia
kidney failure
low density lipoprotein cholesterol level
major clinical study
point of care testing
Thailand
urinalysis
adult
albuminuria
analysis
blood
diabetic complication
diabetic nephropathy
female
glucose blood level
glucose tolerance test
hospital
hyperglycemia
male
metabolism
middle aged
procedures
trends
urine
Adult
Albuminuria
Blood Glucose
Creatinine
Diabetes Complications
Diabetic Nephropathies
Female
Glucose Tolerance Test
Glycated Hemoglobin A
Hospitals
Humans
Hyperglycemia
Male
Middle Aged
Point-of-Care Testing
Thailand
วันที่เผยแพร่: 2018
บทคัดย่อ: Background: This study aimed to evaluate how the tests for blood glucose (BG) and diabetic complications have been utilized in a hospital in Thailand. Material/Methods: Patient medical records having the results of BG, HbA1c, and/or urine microalbumin presented and the records of DM patients having the results of serum lipids, serum LDL-C, and/or serum creatinine presented were selected. The data of diagnosis, ordered tests, and testing results in these records were extracted for evaluation. Results: This study recruited 1066 patients diagnosed with DM and 3081 patients diagnosed with other diseases. Point-of-care testing (POCT) for BG was repeatedly used in 371 non-DM cases; most of its results were normal. The results of BG and HbA1c were often used together. There was a good relationship between them, and these test results indicated poor glycemic control in 58% of DM cases. In non-DM cases, the test results agreed, indicating normoglycemia in 17.32%, pre-diabetes in 20.47%, and diabetes in 21.78%. To prevent diabetic nephropathy, serum creatinine was frequently used, whereas urine microalbumin, the recommended test, was underutilized. The result of LDL-C from both direct measurement and calculation were used; however, based on the same guidelines, the results of measured LDL-C indicated risk of cardiovascular diseases in a higher percentage of DM cases than did the results of calculated LDL-C. Conclusions: The use of POCT for BG in hospitalized patients may be inappropriate. The utilization of urine microalbumin should be promoted to effectively prevent diabetic nephropathy. © Med Sci Monit, 2018.
URI: https://ir.swu.ac.th/jspui/handle/123456789/12730
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85054896326&doi=10.12659%2fMSM.911216&partnerID=40&md5=c8c8f02ac8b1fc6f060a51160ff04f0e
ISSN: 12341010
Appears in Collections:Scopus 1983-2021

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