Predictive Role of Fasting and PostPrandial Glucose towards Glycemic Control

Abstract

Introduction: In the absence of glycated hemoglobin (HbA1c) estimation, particularly in rural set-up in most developing countries, the overall metabolic control may be predicted by evaluating fasting and postprandial plasma glucose (FPG and PPPG). Aim: To evaluate the relative contribution of fasting and postprandial glucose towards glycemic control. Materials and Methods: A retrospective analysis was carried out from lab reports of all adult who were diagnosed with type 2 diabetes and in whom all investigations were carried out in the same setting. Results: Younger males revealed elevated glycated hemoglobin compared to their female counterpart and older male compeer. Peri menopausal females exhibited highest HbA1c, FPG and PPPG of all. The HbA1c values correlated significantly with FPG and PPPG. However, FPG levels were found to be more reliable in assessing the glycemic index. Conclusion: FPG was conferred to be the key contributor for glycation of hemoglobin and can assess the shift of glycemic status in diabetics early

Keywords

• diabetes mellitus
• glycated hemoglobin
• glycemic status
• plasma glucose levels