| Autor: |
M, Mjwara, M, Khan, C-H, Kruse, W, Sibanda, C, Connolly |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde. 111(9) |
| ISSN: |
2078-5135 |
| Popis: |
Diabetic retinopathy (DR) is one of the leading causes of blindness in sub-Saharan Africa and globally, placing a huge disease burden on patients and the public health system. DR varies in severity from non-proliferative to proliferative DR (PDR).Using a monitor of medium- to long-term blood glucose control, to determine the association between glycated haemoglobin (HbA1c) levels in patients with PDR and those with no DR.A prospective, cross-sectional study was conducted at McCord Provincial Eye Hospital in Durban, South Africa. We studied only patients diagnosed with diabetes mellitus (DM) forgt;1 year who had either PDR or no DR, and compared their HbA1c levels. Patients with non-proliferative DR were not included.Patients with PDR had significantly higher HbA1c levels than those with no DR. Patients with type 1 DM had higher HbA1c levels than patients with type 2 DM in both the PDR and no-DR groups. Older patients (gt;70 years) had lower HbA1c levels than younger patients. Gender, race and duration of diabetes had no influence on HbA1c levels.PDR was associated with higher HbA1c in type 2 DM in all races and age groups and was independent of duration of disease. The trend was the same for type 1 DM, but significance could not be reached, probably because of small numbers in this subset of patients. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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