Glycosylated Hemoglobin In Cases Of Diabetes Mellitus With Microangiopathy

Objective: To analyze glycosylated haemoglobin in patient of diabetes with microangiopathy. Method: Study done on 100 patients out of which 80 are well known case of diabetes out of which 50 are diabetes with micro-angiopathy and rest 30 are diabetes without micro-angiopathy and other 20 are non-diabetes considered as normal healthy control. Result: Out of 50 cases of diabetes with micro-angiopathy 15 cases having retinopathy in which 67% males and 33% Females and the mean glycosylated Hb level is 10.89% at beginning and 8.86% after 3 months; 19 cases having retinopathy with nephropathy in which 63% were males and 37% were females the mean glycosylated Hb is 12.73% at beginning and 10.52% after 3 months whereas 16 cases having nephropathy in which sex distribution was 63% males and 7% females and the mean glycosylated Hb is 11.76% at beginning and 8.39% after 3 month. Conclusion: The three months follow up study showed a significant fail in HbA1C level in all groups of diabetes with and without microangiopathy. But it does not touch to normal level 4.7% of total Hb. Assessing Glycaemic control in diabetes with high glycosylated haemoglobin levels, concurrent fasting blood glucose level estimations are essential.