TÌNH TRẠNG KIỂM SOÁT GLUCOSE MÁU Ở BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TYP 2 CÓ MỨC LỌC CẦU THẬN < 60 ML/PHÚT/1,73M2

Abstract

Objectives: To evaluate blood glucose control status in patients with type 2 diabetes with glomerular filtration rate <60ml/min/1.73m2. Subjects and methods: A cross-sectional descriptive study was conducted on 50 patients with type 2 diabetes who had an outpatient examination at Huu Nghi Hospital from January 2022 to June 2022 with glomerular filtration rate < 60 ml/ min/1.73m2 after excluding patients with anemia, acute infection, acute complications, acute exacerbation of chronic renal failure, hemodialysis patients. Criteria to evaluate fasting blood glucose, HbA1C according to the guidelines of ADA-2021.Results: Mean age:76.94 ± 6.04; Male accounted for 84%, female accounted for 16%. The rate of HbA1C of the study group was on target (HbA1C≤ 7%) and acceptable (HbA1C from 7- ≤8%) 38% and 24%, respectively. Poor HbA1C control rate (>8%) of CKD stage 3a; stage 3b is 37.5% respectively; 40%. The ratio of fasting blood glucose of the study group reached the target (fasting GM 4.4-7.2 mmol/l) and acceptable (fasting GM 7.2- ≤ 8.3mmol/l) respectively 14% and 28%. Target HbA1C control rate; the poor of the group with the disease ≤ 10 years and > 10 years were (60% and 23.3%, respectively); (20% and 50%) the difference was statistically significant (p=0.026). Mean value of HbA1C; Fasting blood glucose of the 2 groups of CKD stage 3a and CKD stage 3b was not statistically significant (p respectively 0.52; 0.66). Conclusion: Target HbA1C control rate; the poor of the group with the disease ≤ 10 years and > 10 years were (60% and 23.3%, respectively); (20% and 50%) the difference was statistically significant (p=0.026). The rate of HbA1C control in patients with typ 2 diabetes with glomerular filtration rate < 60ml/min/1.73m2 was statistically significantly associated with disease duration.