What Is The Gold Standard For Diagnosing Diabetes?

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Utility And Limitations Of Glycated Hemoglobin (hba1c) In Patients With Liver Cirrhosis As Compared With Oral Glucose Tolerance Test For Diagnosis Of Diabetes

, Volume 9, Issue1 , pp 243251 | Cite as Utility and Limitations of Glycated Hemoglobin (HbA1c) in Patients with Liver Cirrhosis as Compared with Oral Glucose Tolerance Test for Diagnosis of Diabetes To study the utility of glycated hemoglobin (HbA1c) in the diagnosis of diabetes in patients with cirrhosis as compared to the gold standard oral glucose tolerance test (OGTT) and to see the effect of anemia and severity of cirrhosis on its performance. Individuals (n=100) with an established diagnosis of liver cirrhosis were recruited. The OGTT was performed as described by the World Health Organization (WHO). The severity of cirrhosis was calculated using the ChildTurcottePugh (CTP) score. The severity of anemia was defined according to WHO criteria. The utility of HbA1c was compared against the OGTT results. Test sensitivity and specificity were used to describe the diagnostic accuracy of HbA1c. A total of 100 subjects aged 46.99.1years (meanstandard deviation) participated in the study, of whom 65% were recruited from out patient department of our hospital. The overall sensitivity and specificity of a HbA1c level of 6.5% for the diagnosis of diabetes in patients with cirrhosis was Continue reading >>

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Popular Questions

  1. RebDee

    Bagel Breakfast for Dinner

    One of my favorite things to eat are bagels. However, since starting the no white diet, I have not had a bagel in over a year. Yesterday, while driving, I passed the Western Bagel Bakery Shop, and stopped in to buy a dozen bagels. Egg for me and Everything for Sam. They smelled so goo when I got the bag in the car. We each had a bagel because we were hungry for lunch. At dinner time we had a bagel, lox and cream cheese as our dinner. It was delicious!!! The rest of the bagels were put into the freezer. This morning I weighed in at 3 lb gain on my weight. THREE POUNDS! uh-oh. No more bagels for me!! I ruined my no white diet, and must lose the three lbs before Friday when I weigh in at TOPS (Take Off Pounds Sensibly). I can't deviate from my diet any more. Boo-hoo.

  2. calayx

    I can't believe how obsessed everyone's about carbs and bagels. I felt a fight getting ready to start. We all have different bodies. Give it a rest !

  3. Michael V Baker

    Thanks for reconfirming the almost immediate inflammation that processed flour/wheat provokes. It happens to me also, when, if… No Wheat Belly=NO processed flour Wheat at all.

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