Correlation between self-monitoring blood glucose and glycated albumin in pregnant women with diabetes

Program: Abstracts - Orals, Featured Poster Presentations, and Posters
Session: SAT 806-823-Gestational Diabetes
Saturday, June 15, 2013: 1:45 PM-3:45 PM
Expo Halls ABC (Moscone Center)

Poster Board SAT-817
Ki-Young Lee*1, Chong Hwa Kim2, Jioh Mok3 and Sung Rae Kim4
1Gachon University Gil Hospital, Incheon, South Korea, 2Sejong General Hospital, Bucheon, South Korea, 3Soonchunhyang Univ, Bucheon-Si, South Korea, 4The Catholic University of Korea, Bucheon St. Mary’s Hospital, bucheon, South Korea
Glycated hemoglobin is reliable and objective parameter for 12 weeks glycemic control. In case of gestational diabetes, HbA1c is inadequate for glycemic control parameter, because screening and confirmation test were carried out at 24-28 weeks of gestation, only 12-16 weeks is left from diagnosis to delivery. Glycated albumin is useful to reflect short-term glycemic control status. We investigated relation between mean self-monitoring blood glucose, target glucose achievement ratio and GA in pregnant women with diabetes. This study enrolled 49 pregnant women with diabetes,45 GDM and 4 type 2 diabetes. Self-monitoring blood glucose was measured every day, mean glucose and target glucose achievement ratio during 2 weeks was calculated. GA was measured every 2 weeks. We can find correlations between GA and mean fasting glucose(p=0.044), mean postprandial glucose(p=0.004), mean overall glucose(p=0.008), target postprandial glucose achievement ratio(p=0.029) and target overall glucose achievement ratio(p=0.029). mean postprandial glucose and postprandial glucose achievement ratio has moderate Pearson correlation coefficient 0.386 and -0.310 respectively. Our findings suggest that GA is potential parameter for glycemic control in pregnant women. Further study will be needed whether GA can substitude for self-monitoring blood glucose.

Nothing to Disclose: KYL, CHK, JM, SRK

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