The Accuracy of Hemoglobin A1c and Fructosamine Evaluated by Long-Term Continuous Glucose Monitoring in Patients with Type 2 Diabetes Undergoing Hemodialysis.

Tobias Bomholt,Marianne Rix,Thomas Almdal,Filip K Knop,Susanne Rosthøj,Niels Søndergaard Heinrich,Morten B Jørgensen,Anders Larsson,Linda Hilsted,Bo Feldt-Rasmussen,Mads Hornum

Blood purification（2022）

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摘要

HbA1c evaluated by CGM underestimates plasma glucose levels in patients receiving HD. The underestimation represents a clinical challenge in optimizing glycemic control in the HD population. Fructosamine is unaffected by the factors affecting HbA1c and appears to be more accurate for glycemic monitoring. CGM or fructosamine could thus complement HbA1c in obtaining more accurate glycemic control in this patient group.

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关键词

Continuous glucose monitoring,Diabetic nephropathy,Fructosamine,Hemodialysis,Hemoglobin A1c

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