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糖尿病網膜症與血紅素A1

Diabetic Retinopathy and Hemoglobin A1

摘要


本文選擇20位糖尿病患者,其網膜為正常或輕微糖尿病網膜症;經過六個月以上的追踪,以螢光眼底攝影觀察其變化。並測其飯前血糖(FBS)及血紅素A1(homoglobin A1)多次。發現糖尿病患者之平均血紅素A1為10.8,比正常值(5.5-8.5)是有意義的增高,而且它和FBS成正比的關係。故HbA1可當作糖尿病患者血糖控制的指標。但是如果以HbA1來預測早期糖尿病網膜症的嚴重性及進行性,則因本文尚未發現其特定的相關性,故HbA1只能當作一參考,而需配合其他因素。

關鍵字

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並列摘要


A study was conducted with diabetic patients to correlate the fasting blood sugar level (FBS) and the levels of hemoglobin A1 (HbA1) with the severity and progression of diabetic retinopathy. The average HbA1 of diabetic patient was higher than normal. The HbA1 levels were significantly correlated with the FBS. In our study, HbA1 d FBS were correlated to the severity of DM retinopathy but no significant correlation was found between HbA1 levels and the progression of retinopathy. It may be that multiple factors contribute to this complicated process. This problem needs further work.

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