A STUDY ON CORRELATIONS OF FASTING PLASMA GLUCOSE WITH AQUEOUS HUMOR GLUCOSE AND HBA1C IN CATARACT PATIENTS

Autor: Kapil Deb Lahiri, Arunava Kundu, Mriganka Baruah, Joya Ghosh
Jazyk: angličtina
Rok vydání: 2019
Předmět:
DOI: 10.5281/zenodo.4483321
Popis: Background & objectives: Indian guideline approved the cataract surgery with fasting plasma glucose of Methods: Thirty-six (Group A) & 40 (Group B) cataract patients with fasting plasma glucose in between 100 – 125mg/dl and 126 – 139mg/dl respectively were evaluated for aqueous glucose level and HbA1c. Forty age & sex matched normoglycemic senile cataract patients were taken as control. Results and Interpretation: There were significant positive correlations among fasting plasma glucose, aqueous humor glucose & HbA1c in controls but no significant correlations were found between fasting plasma glucose with aqueous humor glucose & HbA1c in fasting hyperglycemic cataract patients suggesting fasting plasma glucose did not reflect the aqueous humor glucose & HbA1c in those cases. Moreover significantly positive correlations were found between aqueous humor glucose with HbA1c in hyperglycemic cataracts suggesting HbA1c was the better predictor of aqueous humor glucose level in such cases. Conclusion: Glycemic control must be ensured by the monitoring the HbA1c along with plasma glucose value in hyperglycemic cataract patients before proceeding for cataract surgery to predict the significant changes in aqueous glucose value that might have adverse outcome on the surgery in the form of infection, delayed wound healing, macular edema etc which needs to be studied further.
Databáze: OpenAIRE