کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
1966382 1538720 2010 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Circannual variation in glycohemoglobin in Singapore
موضوعات مرتبط
علوم زیستی و بیوفناوری بیوشیمی، ژنتیک و زیست شناسی مولکولی زیست شیمی
پیش نمایش صفحه اول مقاله
Circannual variation in glycohemoglobin in Singapore
چکیده انگلیسی

BackgroundGlycohemoglobin is routinely used for the monitoring of glycemic control in patients with diabetes mellitus. The yearly pattern of glycohemoglobin was examined in a tropical country to assess the effect of festivities without the confounding effect of seasonal variation in temperature and climate.MethodsDetails of all outpatient HbA1c measurements with identified ethnicity over 3 y were examined with respect to date of sampling and compared to the dates of public holidays.ResultsThere were 40267 records available. There was a circannual pattern with a peak in February/March, a minor peak in July/August and a nadir in November/December with an amplitude of 0.5%. Date of sampling was a significant factor in predicting HbA1c > 8.0% despite controlling for race, sex and age. Odds ratios (vs. Quarter 4) were: Quarter 1 1.34 (1.26-1.43); Quarter 2 1.10 (1.03-1.17); Quarter 3 1.11 (1.04-1.19). There was a positive correlation between the number of festive days in the preceding 3 months and the monthly mean HbA1c value. Malay and Indian patients had significantly higher HbA1c values than Chinese.ConclusionsThere is a circannual pattern of HbA1c values in adult outpatients in Singapore, reflecting the celebration of holidays in the preceding 3 months. Clinicians seeking to improve glycemic control should remember the effect of festive occasions.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Clinica Chimica Acta - Volume 411, Issues 1–2, 4 January 2010, Pages 18–21
نویسندگان
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