Prevalence of diabetes and prediabetes according to fasting plasma glucose and HbA1c

Ja Young Jeon, Seung Hyun Ko, Hyuk Sang Kwon, Nan Hee Kim, Jae Hyeon Kim, Chul Sik Kim, Kee Ho Song, Jong Chul Won, Soo Lim, Sung Hee Choi, Myoung Jin Jang, Yuna Kim, Kyungwon Oh, Dae Jung Kim, Bong Yun Cha

Research output: Contribution to journalArticle

79 Citations (Scopus)

Abstract

Background: Due to the inconvenience of performing oral glucose tolerance tests and day to day variability in glucose level, glycated hemoglobin (HbA1c) has been recommended by the American Diabetes Association as a method to diagnose diabetes. In addition, the Korean Diabetes Association has also recommended the use of HbA1c as a diagnostic test for diabetes. In this study, we evaluated the prevalence of diabetes according to fasting plasma glucose (FPG) level only or the combination of FPG and HbA1c tests. Methods: Data from the 2011 Korea National Health and Nutrition Examination Survey (KNHANES) were analyzed. Among 5,811 subjects aged 30 years or older, 5,020 were selected after excluding the data of fasting time <8 hours, missing values from fasting glucose or HbA1c level, previous diagnosis of diabetes made by physicians, or current use of antidiabetic medications. Diabetes was defined as FPG ≥126 mg/dL, previous diagnosis of diabetes made by a medical doctor, current use of antidiabetic medications, and/or HbA1c ≥6.5%. Prediabetes was defined as FPG of 100 to 125 mg/dL and/or HbA1c of 5.7% to 6.4%. Results: When we used FPG only, the prevalence of diabetes and prediabetes were 10.5% (men, 12.6%; women, 8.5%) and 19.3% (men, 23.8%; women, 14.9%), respectively. When HbA1c was included as a diagnostic test, the prevalence of diabetes and prediabetes increased to 12.4% (men, 14.5%; women, 10.4%) and 38.3% (men, 41%; women, 35.7%), respectively. Participants with HbA1c ≥6.5% and fasting glucose level <126 mg/dL were older and had lower estimated glomerular filtration rate. Conclusion: We concluded that using fasting glucose level only may result in an underestimation of diabetes and prediabetes. HbA1c is an acceptable complementary diagnostic test for diabetes in Korean patients. However, national standardization is needed to order to use HbA1c as a diagnostic method of diabetes and prediabetes.

Original languageEnglish
Pages (from-to)349-357
Number of pages9
JournalDiabetes and Metabolism Journal
Volume37
Issue number5
DOIs
Publication statusPublished - 2013 Oct 1

Fingerprint

Prediabetic State
Fasting
Glucose
Routine Diagnostic Tests
Hypoglycemic Agents
Nutrition Surveys
Glycosylated Hemoglobin A
Korea
Glucose Tolerance Test
Glomerular Filtration Rate
Physicians

Keywords

  • Diabetes mellitus
  • Hemoglobin A, glycosylated
  • Korea national health and nutrition examination survey
  • Prediabetic state
  • Prevalence

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism

Cite this

Prevalence of diabetes and prediabetes according to fasting plasma glucose and HbA1c. / Jeon, Ja Young; Ko, Seung Hyun; Kwon, Hyuk Sang; Kim, Nan Hee; Kim, Jae Hyeon; Kim, Chul Sik; Song, Kee Ho; Won, Jong Chul; Lim, Soo; Choi, Sung Hee; Jang, Myoung Jin; Kim, Yuna; Oh, Kyungwon; Kim, Dae Jung; Cha, Bong Yun.

In: Diabetes and Metabolism Journal, Vol. 37, No. 5, 01.10.2013, p. 349-357.

Research output: Contribution to journalArticle

Jeon, JY, Ko, SH, Kwon, HS, Kim, NH, Kim, JH, Kim, CS, Song, KH, Won, JC, Lim, S, Choi, SH, Jang, MJ, Kim, Y, Oh, K, Kim, DJ & Cha, BY 2013, 'Prevalence of diabetes and prediabetes according to fasting plasma glucose and HbA1c', Diabetes and Metabolism Journal, vol. 37, no. 5, pp. 349-357. https://doi.org/10.4093/dmj.2013.37.5.349
Jeon, Ja Young ; Ko, Seung Hyun ; Kwon, Hyuk Sang ; Kim, Nan Hee ; Kim, Jae Hyeon ; Kim, Chul Sik ; Song, Kee Ho ; Won, Jong Chul ; Lim, Soo ; Choi, Sung Hee ; Jang, Myoung Jin ; Kim, Yuna ; Oh, Kyungwon ; Kim, Dae Jung ; Cha, Bong Yun. / Prevalence of diabetes and prediabetes according to fasting plasma glucose and HbA1c. In: Diabetes and Metabolism Journal. 2013 ; Vol. 37, No. 5. pp. 349-357.
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T1 - Prevalence of diabetes and prediabetes according to fasting plasma glucose and HbA1c

AU - Jeon, Ja Young

AU - Ko, Seung Hyun

AU - Kwon, Hyuk Sang

AU - Kim, Nan Hee

AU - Kim, Jae Hyeon

AU - Kim, Chul Sik

AU - Song, Kee Ho

AU - Won, Jong Chul

AU - Lim, Soo

AU - Choi, Sung Hee

AU - Jang, Myoung Jin

AU - Kim, Yuna

AU - Oh, Kyungwon

AU - Kim, Dae Jung

AU - Cha, Bong Yun

PY - 2013/10/1

Y1 - 2013/10/1

N2 - Background: Due to the inconvenience of performing oral glucose tolerance tests and day to day variability in glucose level, glycated hemoglobin (HbA1c) has been recommended by the American Diabetes Association as a method to diagnose diabetes. In addition, the Korean Diabetes Association has also recommended the use of HbA1c as a diagnostic test for diabetes. In this study, we evaluated the prevalence of diabetes according to fasting plasma glucose (FPG) level only or the combination of FPG and HbA1c tests. Methods: Data from the 2011 Korea National Health and Nutrition Examination Survey (KNHANES) were analyzed. Among 5,811 subjects aged 30 years or older, 5,020 were selected after excluding the data of fasting time <8 hours, missing values from fasting glucose or HbA1c level, previous diagnosis of diabetes made by physicians, or current use of antidiabetic medications. Diabetes was defined as FPG ≥126 mg/dL, previous diagnosis of diabetes made by a medical doctor, current use of antidiabetic medications, and/or HbA1c ≥6.5%. Prediabetes was defined as FPG of 100 to 125 mg/dL and/or HbA1c of 5.7% to 6.4%. Results: When we used FPG only, the prevalence of diabetes and prediabetes were 10.5% (men, 12.6%; women, 8.5%) and 19.3% (men, 23.8%; women, 14.9%), respectively. When HbA1c was included as a diagnostic test, the prevalence of diabetes and prediabetes increased to 12.4% (men, 14.5%; women, 10.4%) and 38.3% (men, 41%; women, 35.7%), respectively. Participants with HbA1c ≥6.5% and fasting glucose level <126 mg/dL were older and had lower estimated glomerular filtration rate. Conclusion: We concluded that using fasting glucose level only may result in an underestimation of diabetes and prediabetes. HbA1c is an acceptable complementary diagnostic test for diabetes in Korean patients. However, national standardization is needed to order to use HbA1c as a diagnostic method of diabetes and prediabetes.

AB - Background: Due to the inconvenience of performing oral glucose tolerance tests and day to day variability in glucose level, glycated hemoglobin (HbA1c) has been recommended by the American Diabetes Association as a method to diagnose diabetes. In addition, the Korean Diabetes Association has also recommended the use of HbA1c as a diagnostic test for diabetes. In this study, we evaluated the prevalence of diabetes according to fasting plasma glucose (FPG) level only or the combination of FPG and HbA1c tests. Methods: Data from the 2011 Korea National Health and Nutrition Examination Survey (KNHANES) were analyzed. Among 5,811 subjects aged 30 years or older, 5,020 were selected after excluding the data of fasting time <8 hours, missing values from fasting glucose or HbA1c level, previous diagnosis of diabetes made by physicians, or current use of antidiabetic medications. Diabetes was defined as FPG ≥126 mg/dL, previous diagnosis of diabetes made by a medical doctor, current use of antidiabetic medications, and/or HbA1c ≥6.5%. Prediabetes was defined as FPG of 100 to 125 mg/dL and/or HbA1c of 5.7% to 6.4%. Results: When we used FPG only, the prevalence of diabetes and prediabetes were 10.5% (men, 12.6%; women, 8.5%) and 19.3% (men, 23.8%; women, 14.9%), respectively. When HbA1c was included as a diagnostic test, the prevalence of diabetes and prediabetes increased to 12.4% (men, 14.5%; women, 10.4%) and 38.3% (men, 41%; women, 35.7%), respectively. Participants with HbA1c ≥6.5% and fasting glucose level <126 mg/dL were older and had lower estimated glomerular filtration rate. Conclusion: We concluded that using fasting glucose level only may result in an underestimation of diabetes and prediabetes. HbA1c is an acceptable complementary diagnostic test for diabetes in Korean patients. However, national standardization is needed to order to use HbA1c as a diagnostic method of diabetes and prediabetes.

KW - Diabetes mellitus

KW - Hemoglobin A, glycosylated

KW - Korea national health and nutrition examination survey

KW - Prediabetic state

KW - Prevalence

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