Good night. Here I want to ask what is the relationship between Hba1c examination, microalbuminiru, kretatin, in DM ..
Hello, good morning Teguh.
HbA1c (hemoglobin A1c) examination is an examination commonly performed to determine the control of blood sugar levels for people with diabetes mellitus (DM). Hemoglobin A1c is hemoglobin (a protein found in red blood cells) which combines with glucose (sugar) in the blood. The lifespan of hemoglobin in the body is about 120 days (3 months). Thus, by checking the HbA1c level, the doctor can find out the average blood sugar level of a person over the past 3 months on average.
Examination of GDP (Fasting Blood Sugar) or G2PP (Blood sugar 2 hours after eating) in DM patients is also often used as an examination to see the control of blood sugar levels in DM sufferers, but examining GDP and G2PP may give biased results. For example, before a patient with DM undergoes a GDP / G2PP check, he eats too little, so the result is that his blood sugar level tends to be "low" or "normal", even though the low blood sugar level is not the real blood sugar level. Meanwhile, the HbA1c examination, as mentioned above, described the blood sugar levels of DM patients in the last 3 months. Thus, the HbA1c examination is more objective than the GDP or G2PP examination.
In general, the aim of examining microalbuminuria and creatinine in DM patients is to determine whether there have been complications in the form of kidney disease in these patients. Microalbuminuria is a condition where there is protein in the urine due to damage to the filter system in the kidneys. Meanwhile, the creatinine test is an examination of kidney function, where the increased result means that there has been impaired kidney function.
That's all, hope it helps.
Greetings, dr. Denisa