Abstract
Diabetes mellitus (DM) is a global epidemic that is correlated with long-term damage and causes dysfunctionof many organs like the kidney leading to diabetic nephropathy (DN) which need for heamodialysis (HD) toprotect progressive renal decline. This study was designed to evaluate the significance of glycated albumin(GA), compared with fasting blood sugar (FBS) and glycated hemoglobin (HbA1c), were evaluated as anindicator of glycemic control, also determinant of insulin. This study was conducted on 95 patients at agerang (30-70) years, and patients include (35) HD patients with diabetes, (35) HD patients without diabetesand (25) Type 2 diabetes mellitus, who attended atRamadi General Hospital and (25) samples as controlincluded in this study. This study showed that HbA1c% was significantly lower than simultaneous FBS andGA% in HD patients in comparison with in diabetic patients and control, as illustrated in significantly shallowslope of regression line between FBS with HbA1c and FBS with GA. Also, GA% was nearly correspondingbetween before and after one hemodialysis in HD patients compared with HbA1c.In conclusion, GA providesa better measure to estimate glycemic control in HD patients with diabetes compared with HbA1c.
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