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Title : SELF-MONITORED BLOOD GLUCOSE LEVEL TIMING TO REPRESENT HEMOGLOBIN A1C LEVEL IN TYPE 2 DIABETIC PATIENTS
Authors : *Sutathip Pichayapaiboon, Duangchit Panomvana
Abstract : Glycosylated hemoglobin A1C (HbA1C) is used to assess treatment efficacy in type 2 diabetic patients (T2DM). It is a function of both fasting and postprandial hyperglycemia. This study evaluated the relationship between different time point of self-monitored blood glucose (SMBG) testing and HbA1C.&nbsp; Within 2 weeks, 64 T2DM patients at Police General Hospital, Bangkok, Thailand,&nbsp; performed 12-point SMBG (4 points per each meal per day on every other day: immediately pre meal, 1,2,and 4-hour post meal) twice . SMBG level was reported as mean level from two measurements. HbA1C was measured 2 months later.&nbsp; SMBG levels of all 3 meals and of pre breakfast indicated good relationship with HbA1C (r = 0.766, and r = 0.689, p &lt; 0.01). SMBG level at 4-hour post lunch was also exhibited a good relationship with HbA1C (r = 0.671, p &lt;0.01). Therefore, SMBG testing at 4-hour post lunch might be recommended as another good option to assess glycemic control in T2DM patients. <br /><br />

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