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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Diabetologia 18 (1980), S. 447-452 
    ISSN: 1432-0428
    Keywords: Haemoglobin A1c ; Insulin-dependent diabetes ; Blood glucose control ; Multiple insulin injections
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Haemoglobin A1c concentrations were measured in 102 insulin-treated diabetic outpatients. Only 19% had Hb A1c levels below three standard deviations above the normal mean value (5.23±0.05%). There were no correlations between Hb A1c levels, random C-peptide immunoreactivity or age. A significant correlation (r = 0.49; p〈 0.001) was, however, observed between HbA1c and random plasma glucose levels. The mean random plasma glucose value was normal (89±18 mg/ 100 ml; 5±1 mmol/l) in the patients on insulin three times a day who had received short acting insulin 160 ±6 min before the sampling. — A significant inverse correlation was found (r = -0.26; p〈0.01) between the number of daily insulin injections and the HbA1c concentration. — These results suggest that the use of multiple daily insulin injections improves diabetic control. It should however be emphasised that the patients receiving multiple insulin injections were younger than those on the single injection regime and had lower plasma insulin antibody titres, different social and psychological status and a shorter duration of the disease.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-0428
    Keywords: Diabetes diagnosis ; epidemiology ; glycated haemoglobin
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary HbA1c was measured in 3240 healthy non-diabetic adult individuals in a working population. There was no difference in HbA1c between sexes. The distribution of HbA1c was approximately normal with a slight difference between mean and median values at all ages in both sexes. HbA1c increased with deterioration of glucose tolerance and with all the known risk factors for diabetes (age, obesity, family history of diabetes, history of a large newborn delivery); age but not body mass index appeared as a factor influencing HbA1c independently. In women, HbA1c levels rose particularly at the age of menopause but the use of oral contraceptives or oestrogens made no difference. In both sexes, HbA1c was higher in smokers than in non-smokers. No consistent seasonal variation was observed. Haematologic factors had a negligible influence on HbA1c level. HbA1c was more highly correlated with fasting plasma glucose than with 2 h-plasma/glucose (r=0.20 vs 0.11). In a stepwise multiple regression analysis, age followed by fasting plasma glucose were the only two significant factors associated with the level of HbA1c. These data indicate that HbA1c is influenced only by factors closely linked to diabetes.
    Type of Medium: Electronic Resource
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