An Observational Study on Correlation of Fasting and Postprandial Glycemic Status to various HbA1C Quintiles in Type II Diabetics.

Abstract

Introduction: The exact contributions of postprandial and fasting glucose increments to overall hyperglycemia remain controversial. An observational prospective study is designed to know the relationship of the defined range of various values of glycosylated hemoglobin with fasting and postprandial glycemic status in pre-diabetics and diabetic subjects. Methods & Material: The 402 patients enrolled for this study are divided into 5 groups (Quintiles) depending upon their HbA1C levels. Results: The Conclusion: With the severity of diabetes mellitus in relation to increased HbA1C values, attention should be paid more for better control of Fasting Plasma Glucose. When the values of HbA1C are near normal or in pre-diabetic range, glycemic control should be achieved by controlling postprandial plasma glucose since here fasting plasma glucose is negatively correlated. When the values of HbA1C remain at the moderate limit due attention is needed for controlling both the fasting and the postprandial plasma glucose, judiciously.