Abstract

Glycosylated haemoglobin (HbA1c) is a form of haemoglobin that is measured primarily to identify the average plasma blood glucose concentration prolonged periods previous 120 days. Cardiologist used to treat patients generally when glucose level is over 1.26g/l. Unfortunately, Haemoglobin A1c was seldom controlled. The objective of this study was to detect persons with type 2 diabetes risks by the correlation between HbA1c levels and random glucose one and propose a good management by lifestyles. Methods: This descriptive study included 216 patients selected randomly with cardiovascular complications and ocular diseases but none diabetes diagnosed. Glycaemia and HbA1c measurement were done. Results: All the patients were not diabetes diagnosed. There was a low correlation between the blood glucose levels and the glycated haemoglobin r=0.2761). Hypocaloric diet applied to type 2 diabetes management decreased glycaemia and Haemoglobin Hba1c. The decreasing of Hba1c was estimated from 14% to 17% of the initial values. Conclusions: Glycaemia must not only be considered to manage cardiovascular complications at Cardiology Institute of Abidjan. The contribution of hypocaloric diet with high vegetable and one fruit intake a day lead to better type 2 diabetes management.

Highlights

  • The number and prevalence of people with diabetes are increased rapidly The International Diabetes Federation (IFD) estimates that there were 381.8 million people with diabetes in 2013 and this value should increase and reach 591.9 million by 2025 [1]

  • The discussion will focus on two axes: the first axe will deal with correlation between glycaemia and glycated haemoglobin while the second part will be devoted to early diabetes management

  • Our study shown a low correlation glycemiaandHbA 1 c

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Summary

Introduction

The number and prevalence of people with diabetes are increased rapidly The International Diabetes Federation (IFD) estimates that there were 381.8 million people with diabetes in 2013 and this value should increase and reach 591.9 million by 2025 [1]. No study showed national diabetes prevalence rate. When this disease is not well supported, complications rise that threaten health and endanger life. Alltypesof Diabetes can lead to complications in many parts of the body and can increase the overall risks of dying prematurely [2]. Possible complications include heart attack, stroke, kidney failure, leg amputation and loss of vision. In addition to these traditional complications describe above, diabetes has been associated with increased rates of specific cancers [3], increased rates of physical and cognitive disability [4]. Diabetes and higher-than-optimal blood glucose all together were responsible for 3.7 million deaths in 2014

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