• 作者：J.J. Criado-Á ; lvarez^a ; ^{jjcriado@sescam.jccm.es} ; J.C. Mé ; ndez-Cabeza Fuentes^a ; F. Bustos Guadañ ; o^b
• 关键词：Diabetes mellitus ; Glucohemoglobina ; Control enfermedad ; Variabilidad
• 刊名：SEMERGEN - Medicina de Familia
• 出版年：2011
• 期刊代码：pca342_11383593
• 类别：med
• 出版时间：March 2011
• 卷：37
• 期：3
• 页码：113-118
• 文件大小：210 K

Introduction

Diabetes mellitus is a chronic disease with high morbidity, high health and social costs, and in which control is crucial. Glycosylated haemoglobin (HbA1c) has become a matter of controversy on its usefulness in diagnosing and monitoring the disease.

Material and methods

We analysed all measures of HbA1c measurements in the population non-paediatric Primary Care population in Talavera de la Reina (Toledo, Spain) between the years 2006-2008. All samples were analysed in the Laboratory of the Hospital Nuestra Se帽ora del Prado, Talavera de la Reina in line with international standards. The concentration of HbA1c which has been considered to show good or poor control of DM is 7%. All results have been analysed by requester or by health centre.

Results

A total of 26,611 determinations were made, with a mean HbA1c concentration of 6.9%. No statistically significant differences were found between health centres (p > .05) or between the professionals who requested the test (p > .05). The majority, 57.1%of the population of the area, was well controlled, with no statistically significant differences between health centres (p > .05).

Conclusion

Our population has an adequate level of blood glucose control, according to the values of HbA1c values, with no significant differences between health centres or professionals. The absence of statistical differences does not necessarily mean that no variation was observed in the level of control. We must continue working to reduce the differences found, so that patients may have access to the same levels of health.