Clinical Significance of HbA1c in the Management of Complicated Type 2 Diabetic Patients in Bangladesh

Diabetic patients are generally suffered by several other diseases such as dyslipidemia, cardiovascular and urinary diseases. Glycated hemoglobin (HbA1c) is a commonly used marker for identifying long-term glycemic control. The objective of this study is to investigate the co-relation of HbA1c with blood glucose level, serum lipid, cholesterol and creatinine level in type 2 diabetes patients. A prospective study was carried to collect data from the diabetic hospital, Dhaka, Bangladesh though interview and from the current pathological reports of the patients and then data was analyzed using Excel. Results showed that serum lipid concentration, fasting and postprandial blood glucose are directly related with the percentage of HbA1c in the blood. In addition, risks of hypertension, dyslipidemia and kidney diseases also showed higher in high percentage of HbA1c in the blood of the patients. However, HbA1c is independent with age, weight and height of the patients. This study will help to mange complicated diabetic patients by controlling HbA1c from the beginning of the treatment.