The evaluation of Hba1c test as A diagnostic test for diabetes mellitus type 2

Other Title(s)

تقييم فحص السكر التراكمي HBAIC كاختبار تشخيصي لمرضى السكري من النوع الثاني

Author

Bakr, Usamah Zaki

Source

التربية و العلم : مجلة علمية للبحوث العلمية الأساسية

Publisher

University of Mosul College of Education for Pure Science

Publication Date

2021-09-30

Country of Publication

Iraq

No. of Pages

9

Main Subjects

Medicine

Topics

• Medical care
• Diabetes
• Mosul
• Glucose
• Type 2 diabetes

Arabic Abstract

تم إجراء دراسة مقارنة بين فحص السكر التراكمي HbA1c و فحص الجلوكوز في الدم لغرض تشخيص مرض السكري من النوع الثاني و إيجاد نقطة القطع المثلى لاختبار ال HbA1c من أجل الوصول إلى الحساسية المثلى للفحص لدى سكان مدينة الموصل (من داخل المدينة و بعض المناطق الريفية المحيطة بها).

تم إجراء الفحص على مجموعة من الأشخاص تتراوح أعمارهم بين 40 و 85 عاما ممن حضروا إلى مختبرنا و تم تشخيص إصابتهم بالسكري من النوع الثاني أو عدمه من قبل المتخصصين في الطب الباطني و الغدد الصماء تم إجراء اختبارات HbA1c و FBS في الفترة الزمنية بين كانون الثاني 2020 و كانون الثاني 2021.

و أظهرت النتائج لـ 80 فردا بمتوسط عمر 56 عاما نتيجة اختبار HbA1c بقيمة 6.8٪، حساسية 94٪، مقارنة بـ نتيجة 126 ملجم/ مل ل FBS كمعيار تشخيصي من خلال منحنى الـ ROC، و تم الوصول إلى نقطة القطع المثلى لل HbA1c لـ 6.86٪ في تشخيص مرض السكري من النوع الثاني والتي أعطت أعلى مؤشر يودن بواسطة تحليل منحنى ال ROC.

الاستنتاجات : نوصي باستخدام القيمة المثلى ل HbA1c بنسبة 6.86٪ كأفضل اختبار في تشخيص مرض السكري من النوع الثاني والحصول على أفضل رعاية طبية و صحية لسكان مدينة الموصل.

English Abstract

The HbA1c test and the blood glucose test were compared in order to diagnose type 2 diabetes and determine the best cut-off point for the HbA1c test for optimal sensitivity in the population of Mosul city (inside it and some rural areas around it).

The test was performed on a group of people between the ages of 40 and 85 who came to our laboratory after being diagnosed with or without type 2 diabetes by specialists in internal medicine and endocrinology.

The HbA1c and FBS analysis were carried out between January 2020 and January 2021.

And, by using ROC curve, the results for 80 individuals with an average age of 56 years produced a HbA1c test with a value of 6.8 percent, a sensitivity of 94 percent, compared to the result of 126 mg/ml for FBS as a diagnostic criterion, and the optimal cutoff point for HbA1c was reached for 6.86% in diagnosing disease diabetes type 2 was given the highest Yuden index by ROC curve analysis.

Conclusion: We recommend that the optimal value of Hb2 with a percentage of 6.86 percent be used as the best test in diagnosing type 2 diabetes and obtaining the best medical and health care for the Mosul population.

The HbA1c test and the blood glucose test were compared in order to diagnose type 2 diabetes and determine the best cut-off point for the HbA1c test for optimal sensitivity in the population of Mosul city (inside it and some rural areas around it).

The test was performed on a group of people between the ages of 40 and 85 who came to our laboratory after being diagnosed with or without type 2 diabetes by specialists in internal medicine and endocrinology.

The HbA1c and FBS analysis were carried out between January 2020 and January 2021.

And, by using ROC curve, the results for 80 individuals with an average age of 56 years produced a HbA1c test with a value of 6.8 percent, a sensitivity of 94 percent, compared to the result of 126 mg/ml for FBS as a diagnostic criterion, and the optimal cutoff point for HbA1c was reached for 6.86% in diagnosing disease diabetes type 2 was given the highest Yuden index by ROC curve analysis.

Conclusion: We recommend that the optimal value of Hb2 with a percentage of 6.86 percent be used as the best test in diagnosing type 2 diabetes and obtaining the best medical and health care for the Mosul population.

Data Type

Conference Papers

Record ID

BIM-1266040

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