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Blood glucose levels and HbA1c at admission associated with outcomes of patients with type 2 diabetes mellitus and acute coronary syndrome
Amita A.R.
Gazzetta Medica Italiana Archivio Per Le Scienze Mediche
Q4Abstract
BACKGROUND: Patients with type 2 diabetes mellitus (DM) have a higher chance of acquiring cardiovascular illnesses, particularly acute coronary syndrome (ACS), than those without DM. For people with type 2 diabetes, cardiovascular problems are the main cause of morbidity and death. This study aimed to explore the relationship between patients with type 2 DM (T2DM) and ACS during therapy and their blood glucose levels and hemoglobin A1c (HbA1c) at admission.METHODS: This is a retrospective cohort study of type 2 DM and ACS patients. Data were obtained from patient’s medical records at the Central General Hospital (RSUP) Dr. Wahidin Sudirohusodo (Makassar, Indonesia) from January 2023 until the sample size was fulfilled.RESULTS: Patients with type 2 DM and ACS had their blood glucose levels and HbA1c upon admission correlated with arrhythmias, according to a statistical test. The blood glucose level (BGL) of the patient with arrhythmia had a P value of 0.370 (P>0.05) at admission, while the HbA1c had a P value of 0.390 (P>0.05) at the same time. When the patient with congestive heart failure (CHF) was admitted, the P value for BGL was 0.423 (P>0.05), and the P value for HbA1c was 0.763 (P>0.05). In patients who had died, the P value of HbA1c upon admission was 0.037 (P<0.05), whereas the P value of BGL was 0.513 (P>0.05).CONCLUSIONS: In patients with T2DM and ACS, there is a correlation between HbA1c and death; however, there is no correlation between blood glucose levels at admission and arrhythmia, CHF, or mortality.