The Correlation Between HbA1c and Neuropathy Disability Score in Type 2 Diabetes

Background: World Health Organization (WHO) estimates the incidence of type 2 diabetes in Indonesia would increase to 21.3 million in 2030. Diabetes has a chronic complications, including peripheral neuropathy. The degree of neuropathy was assessed through the Neuropathy Disability Score (NDS). In c...

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Main Authors: Ilsa Hunaifi, I Gusti Ngurah Ommy Agustriadi, I Gede Yasa Asmara, Catharina Budyono
Format: Article
Language:English
Published: Interna Publishing 2021-07-01
Series:Acta Medica Indonesiana
Subjects:
Online Access:https://www.actamedindones.org/index.php/ijim/article/view/1572
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author Ilsa Hunaifi
I Gusti Ngurah Ommy Agustriadi
I Gede Yasa Asmara
Catharina Budyono
author_facet Ilsa Hunaifi
I Gusti Ngurah Ommy Agustriadi
I Gede Yasa Asmara
Catharina Budyono
author_sort Ilsa Hunaifi
collection DOAJ
description Background: World Health Organization (WHO) estimates the incidence of type 2 diabetes in Indonesia would increase to 21.3 million in 2030. Diabetes has a chronic complications, including peripheral neuropathy. The degree of neuropathy was assessed through the Neuropathy Disability Score (NDS). In contrast, haemoglobin A1c is glycated haemoglobin used to monitor the glucose levels of diabetic patients in the last 2 or 3 months. The relationship between HbA1c and diabetic neuropathy carried out by electrodiagnosis showed that HbA1c and age were the main predictors of diabetic neuropathy. However, electrodiagnosis is still considered costly. Research is needed to determine the relationship between HbA1c and NDS to reduce morbidity. This study aims to determine the relationship between the severity of diabetic neuropathy as measured by NDS with HbA1c level in type 2 Diabetes. Methods: this cross-sectional study involved correlation analysis.. The collected data were analyzed with the Spearman correlation test. Results: approximately 56 diabetic patients were involved in this study. Patients were recruited from the internal medicine outpatient ward from the West Nusa Tenggara General Hospital. The mean age was 59.55 (SD 9.48) with 57.1% female; the median duration of diabetes was 5.5 years. The median NDS score is 7.5 and the median HbA1c value is 8.65. Spearman correlation analysis shows a correlation coefficient of 0.487 with a value of p = 0.000. Conclusion: there is a relationship between HbA1c level and the severity of diabetic neuropathy in Type 2 DM.
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spelling doaj.art-5e1b0aa3e2aa49139870620bb2117cd72022-12-21T22:07:08ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322021-07-01532431The Correlation Between HbA1c and Neuropathy Disability Score in Type 2 DiabetesIlsa Hunaifi0I Gusti Ngurah Ommy Agustriadi1I Gede Yasa Asmara2Catharina Budyono3Department of Neurology, Faculty of Medicine, University of Mataram - West Nusa Tenggara General Hospital, NTB, IndonesiaDepartment of Internal Medicine, Faculty of Medicine, University of Mataram - West Nusa Tenggara General Hospital, NTB, Indonesia.Department of Internal Medicine, Faculty of Medicine, University of Mataram - West Nusa Tenggara General Hospital, NTB, Indonesia.Department of Internal Medicine, Faculty of Medicine, University of Mataram - West Nusa Tenggara General Hospital, NTB, Indonesia.Background: World Health Organization (WHO) estimates the incidence of type 2 diabetes in Indonesia would increase to 21.3 million in 2030. Diabetes has a chronic complications, including peripheral neuropathy. The degree of neuropathy was assessed through the Neuropathy Disability Score (NDS). In contrast, haemoglobin A1c is glycated haemoglobin used to monitor the glucose levels of diabetic patients in the last 2 or 3 months. The relationship between HbA1c and diabetic neuropathy carried out by electrodiagnosis showed that HbA1c and age were the main predictors of diabetic neuropathy. However, electrodiagnosis is still considered costly. Research is needed to determine the relationship between HbA1c and NDS to reduce morbidity. This study aims to determine the relationship between the severity of diabetic neuropathy as measured by NDS with HbA1c level in type 2 Diabetes. Methods: this cross-sectional study involved correlation analysis.. The collected data were analyzed with the Spearman correlation test. Results: approximately 56 diabetic patients were involved in this study. Patients were recruited from the internal medicine outpatient ward from the West Nusa Tenggara General Hospital. The mean age was 59.55 (SD 9.48) with 57.1% female; the median duration of diabetes was 5.5 years. The median NDS score is 7.5 and the median HbA1c value is 8.65. Spearman correlation analysis shows a correlation coefficient of 0.487 with a value of p = 0.000. Conclusion: there is a relationship between HbA1c level and the severity of diabetic neuropathy in Type 2 DM.https://www.actamedindones.org/index.php/ijim/article/view/1572hba1cneuropathyendocrinologydiabetes mellitus
spellingShingle Ilsa Hunaifi
I Gusti Ngurah Ommy Agustriadi
I Gede Yasa Asmara
Catharina Budyono
The Correlation Between HbA1c and Neuropathy Disability Score in Type 2 Diabetes
Acta Medica Indonesiana
hba1c
neuropathy
endocrinology
diabetes mellitus
title The Correlation Between HbA1c and Neuropathy Disability Score in Type 2 Diabetes
title_full The Correlation Between HbA1c and Neuropathy Disability Score in Type 2 Diabetes
title_fullStr The Correlation Between HbA1c and Neuropathy Disability Score in Type 2 Diabetes
title_full_unstemmed The Correlation Between HbA1c and Neuropathy Disability Score in Type 2 Diabetes
title_short The Correlation Between HbA1c and Neuropathy Disability Score in Type 2 Diabetes
title_sort correlation between hba1c and neuropathy disability score in type 2 diabetes
topic hba1c
neuropathy
endocrinology
diabetes mellitus
url https://www.actamedindones.org/index.php/ijim/article/view/1572
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