Hemoglobin A1c Measurement Using Point of Care Testing

Erdal, Gülçin Şahingöz; Işıksaçan, Nilgün; Koşer, Murat; Kocamaz, Nursel

doi:10.4274/imj.galenos.2019.48265

Cited by 4 publications

(2 citation statements)

References 15 publications

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“…Another study found that using the H-FABP alone or in combination with commonly used biomarkers had no discernible effect on the early diagnosis and exclusion of ACS unlike our study [16]. Another study reports the effectiveness of H-FAB to be used to predict the severity of CAD [17].…”

Section: Discussioncontrasting

confidence: 64%

Neutrophil lymphocyte ratio and heart type fatty acid binding protein as a prognostic marker in Myocardial infarction within 48 h of admission

Nikhil,

Jayakumar,

Shiny

et al. 2024

Egypt Heart J

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Background The neutrophil to lymphocyte ratio (NLR) is a measure of systemic inflammation, whereas Heart type fatty acid protein (HFABP) is a cytosolic protein released early after acute coronary syndrome (ACS). The aim of this research study is to determine whether NLR and H-FAB are useful in predicting the prognosis in patients with ST segment elevation myocardial infarction (STEMI) 48 h after admission. This is a prospective observational study conducted on 97 patients who had been admitted to emergency room with ST-elevation myocardial infarction in their ECG in a tertiary care centre of south India. The neutrophil–lymphocyte ratio was measured at the time of admission, 24th hour and 48th hour, and then compared with the outcome. To determine their significance in the MI episode, troponin-I and H-FABP were also measured. Results A significant correlation was found in the final outcomes of patients and the NLR at the time of admission and at 48 h (p = 0.01). Additionally, a substantial correlation between NLR and various degrees of LV dysfunction was also observed (p = 0.01). H-FABP was found to be positive in all 97 of the patients examined, whereas Troponin-I was only found to be positive in 56.7%. Conclusion The study's findings, indicated strong correlations between NLR and LVEF, indicated that NLR might serve as an early predictor of cardiac events which could be either poor prognosis or higher mortality. This research found that H-FABP may serve as an early MI diagnostic marker.

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Section: Discussioncontrasting

confidence: 64%

Neutrophil lymphocyte ratio and heart type fatty acid binding protein as a prognostic marker in Myocardial infarction within 48 h of admission

Nikhil,

Jayakumar,

Shiny

et al. 2024

Egypt Heart J

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“…Therefore, fasting blood glucose was dropped as a diagnostic variable. The accuracy of Bayer's A1cNow+ monitor was confirmed for non-clinical diagnoses of diabetes with up to 98% agreement, or non-significant difference, between the device and laboratory results [14][15][16][17][18]. Participants also provided self-report of their diabetes status which was compared to their HbA1c to determine the rate of undiagnosed diabetes in this population.…”

Section: Data Collectionmentioning

confidence: 86%

The Relationship between Macronutrient Distribution and Type 2 Diabetes in Asian Indians

2021

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Asian Indians (AIs) are at increased risk for type 2 diabetes mellitus than other ethnic groups. AIs also have lower body mass index (BMI) values than other populations, so can benefit from strategies other than weight reduction. Macronutrient distributions are associated with improved glycemic control; however, no specific distribution is generally recommended. This study looks at whether a macronutrient distribution of 50:30:20 (percent of total calories from carbohydrates, fats, and protein) is related to diabetes status in AIs. Diet and Hemoglobin A1c (HbA1c) were assessed from convenience sample of AI adults in Maryland. A ratio of actual to needed calories using the 50:30:20 macronutrient distribution was then tested against diabetes status to identify associations. All groups except non-diabetic females, were in negative energy balance. The non-diabetic group consumed larger actual to needed ratios of protein than pre-diabetics and diabetics. However, all groups consumed protein at the lower end of the Acceptable Macronutrient Distribution Range (AMDR), and the quality of all macronutrients consumed was low. Therefore, weight loss may not be the recommendation for diabetes management for AIs. Increasing protein and insoluble fiber consumption, could play a critical role.

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