Discharge Blood Glucose Profile Predicts HbA1c With Diabetes Education

HealthDay News — For patients with type 2 diabetes receiving inpatient diabetes education, blood glucose profile at discharge can predict HbA1c level at 12 weeks after discharge, according to a study published in the Journal of Diabetes Investigation.

Keiichi Torimoto, from the University of Occupational and Environmental Health in Kitakyushu, Japan, and colleagues conducted a retrospective study involving 54 patients with type 2 diabetes who received inpatient diabetes education. The authors examined the correlation between continuous glucose monitoring (CGM) parameters and HbA1c level at 12 weeks after discharge.

The researchers observed a correlation for HbA1c level at 12 weeks after discharge with mean blood glucose level (P =.029). Mean blood glucose level and disease duration were predictors of 12-week HbA1c level, in multivariate analysis. Disease duration and percentage of time with blood glucose at 180 mg/dL or greater correlated with achieving a goal of an HbA1c level lower than 7.0% at 12 weeks after discharge.

“Our results suggested that blood glucose profile at discharge using CGM seems useful to predict HbA1c level after discharge in patients with type 2 diabetes who received inpatient diabetes education,” the researchers wrote.

Reference

1. Torimoto K, Okada Y, Sugino S, Tanaka Y. Determinants of hemoglobin A1c level in patients with type 2 diabetes after in-hospital diabetes education: A study based on continuous glucose monitoring. J Diabetes Investig. 2016 Oct 27. doi:10.1111/jdi.12589 [Epub ahead of print].