Type 2 Diabetes Mellitus with HbJ trait: A management conundrum
Optimal glycaemic control is crucial in patients with diabetes mellitus (DM) to avoid episodes of hypoglycaemia and both micro- and macrovascular complications. Diabetic control relies mainly on the evaluation of haemoglobin A1c (HbA1c), which is unfortunately unreliable in patients with haemoglobin...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Academy of Family Physicians of Malaysia
2022-03-01
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| Series: | Malaysian Family Physician |
| Subjects: | |
| Online Access: | https://e-mfp.org/wp-content/uploads/v17n1-Cr-Type-2-Diabetes-Mellitus.pdf |
| Summary: | Optimal glycaemic control is crucial in patients with diabetes mellitus (DM) to avoid episodes of hypoglycaemia and both micro- and macrovascular complications. Diabetic control relies mainly on the evaluation of haemoglobin A1c (HbA1c), which is unfortunately unreliable in patients with haemoglobinopathies. This case report describes a patient with type 2 DM and haemoglobin J (HbJ) trait, which resulted in erratic HbA1c values throughout her follow-up. Other approaches, such as self-blood glucose monitoring, are needed to evaluate glycaemic control instead of relying on HbA1c alone to guide the management DM in these patients. |
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| ISSN: | 1985-207X 1985-2274 |