CONTRIBUTION OF DATA
PROCESSING IN MANAGEMENT OF DIABETES
B Le Luyer*, D Bouige**, A Duquenoy*, P Le
Roux*, J Boulloche *Department of Pediatric, **Department of Biochemistry
GH Le Havre, 76083 Cedex, France
The purpose of this study
was to 1) determine a relationship between a 60 day mean self monitoring
blood glucose value and HbA1C, 2) determine the quality of
metabolic control according to the target for blood glucose level
(0.70-1.80g/dl).
Methods: Study of
computerized data from 313 consultations and HbA1C analysis.
Results: Mean HbA1C
is 8.2 ± 1,1%, mean blood glucose is 1.79 ± 1.28. The relationship between
HbA1c and mean self monitoring blood glucose is : HbA1c = 4.8 +
1.90 ´ blood glucose
test ; r = 0.52. The results of the targets for blood glucose according to
the levels of HbA1c
are detailed
in the table bellow.
|
Level
of HbA1c
|
Mean
Hb A1C
|
Self blood glucose g/dl
|
target
(0.7-1.8 g/dl)
|
> target
|
< target
|
Mean measure day
|
|
Mean
<=7
|
6.52
|
1.46
|
51.55
|
26.97
|
21.51
|
2.72
|
|
Mean.
7.1-8,5
|
7.75*
|
1.78*
|
38.98#
|
43.62¶
|
17.44
|
2.84
|
|
Mean
8.6-10
|
9.04*
|
1.97*
|
35.68#
|
49.04¶
|
15.21
|
2.2
|
|
Mean>10
|
10.73*
|
2.03*
|
32.54#
|
52.65¶
|
14.84
|
1.55
|
Mean self
monitoring glucose* 1¹2 3 4 p<0.05 and 3 and 4 ns, target#¹ 2 3 4p<0.05, 2 and 3, 3 and 4 ns, >target¶ 1¹2 3 4 p<0.001,and 3 3 and 4 ns, 2¹5 p<0.05, <target 1¹2 3 4
p<0.05, 2¹4 p<0.05, 2
and 3, 3 and 4 ns
Conclusion: A good metabolic
control is associated with a mean blood glucose level < 1.5 g/dl, a high
percent of blood glucose levels within target range (50%) and of hypoglycemia
(20%) and a large number of blood glucose tests. There is a strong
relationship between 60 day mean blood glucose value and HbA1c.