The Relationship Between Glycated Hemoglobin (HbA1C) and Microalbuminuria in Diabetes Patients

Abstract

The objective of this research was to study the glycated hemoglobin (HbA1C) levels and the urine albumin levels, and the relationship of HbA1C in microalbuminuria in diabetes patients. In this study, HbA1C levels and urine albumin levels were examined in 1,771 diabetes patients who had attended at Camillian hospital, Bangkok. There were 1,077 subjects (60.8 %) who had HbA1C levels ≥ 7.0 %. There were 662 subjects (37.4%) who had urine albumin levels ≥ 30 mg/g creatinine. In addition, the study showed that HbA1C levels were significant positive association with urine albumin levels (r=0.16, p<0.001). Microalbuminuria can predict the early stages of kidney disease even though the patients had not shown detectable effect symptom. This test can be used for primary screening patients with diabetes in order to reduce or to detect the risk of nephropathy. So it is hopeful that this study would benefit the medical teams in following up and controlling the risk from complication of diabetes kidney patients.