Perbandingan Glycated Haemoglobin (HbA1c) dengan Glycated Albumin (GA) pada Pasien DM yang Menjalani Hemodialisis Reguler

Abstract

Background : DM is diagnosis by blood glucose lwel test.Nowsday there are many report of HbAlc weakness in blood glucose level monitoring in DM patients with reguler HD. In regularly hernodialized patieils, HbAlc level me relativly lower thsr they are strppose to be because RBC life span is shortened in ESRD patients. GA is used as an altemative monitoring of regutarly hemodialized patients. Methode : This study was an observational analysis with cross sectional design in Haji Adam Malik public hospital in Medm. From Januari #d fehruari 2016. The research subjects were patients that were undergoing reguler HD and for patiens who wcre diagnosed DM type 2 with ESRD adn hadn't gone on HD before in HAM hospital were includsd in the control group. Result : During this study 27 patients who went on reguler HD and 25 DM type 2 with ESRD patients who hadn't gone on IID were included. The blood samples were taken for testing in HAM hospital labomtorium. All groups of [fD patients were compared to the control group. There were significant differences of the HbAlc levels (6,01t1,06 vs 9,01+2,79; P(0,0O1). The GA levels (17,8Sr5,47 vs 24,85*14,01; P(O022). artd ths uretrm levels ( 173,49+69,22 vs 133,97*48,05; P(0,022). The mean of HbAlc leveis is+6,01, which is lower thant the control group's mean +9.01. While in GA patients, the control mean is relatively higher (+i7.8 ard +24.85). We could conclude that HbAlc in patients who were undergoing reguler HD were lower. GA is used m an lternative blood glucose level monitoring in reguarly hemodyalized patients.