PMID- 33948086 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220422 IS - 1178-7007 (Print) IS - 1178-7007 (Electronic) IS - 1178-7007 (Linking) VI - 14 DP - 2021 TI - Association of Glycated Albumin/Glycosylated Hemoglobin Ratio with Blood Glucose Fluctuation and Long-Term Blood Glucose Control in Patients with Type 2 Diabetes Mellitus. PG - 1809-1815 LID - 10.2147/DMSO.S297730 [doi] AB - OBJECTIVE: This study aimed to investigate the association of the glycated albumin (GA)/glycosylated hemoglobin (HbA1c) ratio with the mean amplitude of glycemic excursion (MAGE) in type 2 diabetes mellitus (T2DM). METHODS: A total of 102 patients with T2DM who were first treated in Jinjiang Hospital of Fujian Province were enrolled in this study. The patients' general clinical data, including HbA1c, GA, fasting blood glucose, and fasting and peak C-peptide values upon diagnosis and after one year of follow-up, were collected, and their MAGE was calculated. RESULTS: With the increase of the GA/HbA1c ratio at baseline, the patients' fasting and peak C-peptide values decreased gradually from baseline to follow-up, while their MAGE, HbA1c, and fasting blood glucose increased gradually. A regression analysis demonstrated that the baseline MAGE was independently positively correlated with the GA/HbA1c ratio. A Cox regression analysis demonstrated that a baseline GA/HbA1c ratio of >2.78 was an independent risk factor for poor fasting blood glucose and HbA1c. CONCLUSION: The GA/HbA1c ratio is closely related to the MAGE and islet function in patients with T2DM. CI - (c) 2021 Wang et al. FAU - Wang, Bai-Rong AU - Wang BR AD - Department of Endocrinology, Medical College of Soochow University, Suzhou 215123, Jiangsu, People's Republic of China; PLA Rocket Force Characteristic Medical Center, Beijing, 100088, People's Republic of China. AD - Department of Endocrinology, Jinjiang Municipal Hospital, Jinjiang, 362200, People's Republic of China. FAU - Yao, Jun-Teng AU - Yao JT AD - Department of Endocrinology, Jinjiang Municipal Hospital, Jinjiang, 362200, People's Republic of China. FAU - Zheng, Hui AU - Zheng H AD - Department of Endocrinology, Medical College of Soochow University, Suzhou 215123, Jiangsu, People's Republic of China; PLA Rocket Force Characteristic Medical Center, Beijing, 100088, People's Republic of China. FAU - Li, Quan-Min AU - Li QM AD - Department of Endocrinology, Medical College of Soochow University, Suzhou 215123, Jiangsu, People's Republic of China; PLA Rocket Force Characteristic Medical Center, Beijing, 100088, People's Republic of China. LA - eng PT - Journal Article DEP - 20210427 PL - New Zealand TA - Diabetes Metab Syndr Obes JT - Diabetes, metabolic syndrome and obesity : targets and therapy JID - 101515585 PMC - PMC8088300 OTO - NOTNLM OT - blood glucose control OT - blood glucose fluctuation OT - glycated albumin OT - glycosylated hemoglobin OT - type 2 diabetes mellitus COIS- The authors declare that they have no competing interests. EDAT- 2021/05/06 06:00 MHDA- 2021/05/06 06:01 PMCR- 2021/04/27 CRDT- 2021/05/05 06:23 PHST- 2020/12/16 00:00 [received] PHST- 2021/03/04 00:00 [accepted] PHST- 2021/05/05 06:23 [entrez] PHST- 2021/05/06 06:00 [pubmed] PHST- 2021/05/06 06:01 [medline] PHST- 2021/04/27 00:00 [pmc-release] AID - 297730 [pii] AID - 10.2147/DMSO.S297730 [doi] PST - epublish SO - Diabetes Metab Syndr Obes. 2021 Apr 27;14:1809-1815. doi: 10.2147/DMSO.S297730. eCollection 2021.