Fructosamine and glycated hemoglobin as indices of glycemic control in patients with liver cirrhosis.

摘要: Glucose intolerance often occurs in liver cirrhosis; therefore a long-term control of plasma glucose levels appears to be important. For this purpose glycated hemoglobin A (HbA1c) determination is proposed as suitable method, while no data are available on fructosamine test. In 98 cirrhotic patients serum and HbA1c were compared with those normal controls among grouped non glucose-intolerant insulin-dependent (NIDDM) or diabetes mellitus (IDDM). The mean values glycemic significantly lower than normal, only few IDDM NIDDM showed high HbA1c, indicating that underestimated these patients. On the contrary, average higher nondiabetic patients, but they nondiabetics, 72% 85% had upper value. conclusion, diabetic cirrhosis seems more test for monitoring blood levels.