TƯƠNG QUAN GIỮA THEO DÕI GLUCOSE LIÊN TỤC VỚI MỘT SỐ CHỈ TIÊU CẬN LÂM SÀNG Ở BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TYPE 2 ĐIỀU TRỊ NỘI TRÚ

Abstract

Objectives:To evaluate the correlation between continuous glucose monitoring (CGM) results and certain biochemical markers in type 2 diabetes inpatients. Methods: A descriptive cross-sectional, partially interventional study was conducted on 35 type 2 diabetes patients treated at the Department of Rheumatology and Endocrinology, Military Hospital 103, from April 2022 to May 2024. Results: The mean age was 68.54 ± 12.30, and the admission glucose level of 14.34 (9.34; 36.87) mmol/L. The average glucose showed a linear correlation with HbA1c (r = 0.44; p < 0.05), K/Na ratio (r = 0.37; p < 0.05), AST/ALT ratio (r_s = -0.41; p < 0.05), and a non-linear correlation with admission creatinine (r_s = 0.39; p < 0.05). Admission glucose level was correlated with glucose variability (%GV) (r_s = 0.35; p < 0.05) and TBR 3.0 mmol/L (r_s = 0.34; p < 0.05). Conclusion: Poorly controlled diabetic patients with high admission glucose and HbA1c levels often experience water and electrolyte imbalances, as indicated by elevated admission creatinine and decreased sodium levels. Patients with high HbA1c levels also have high average glucose levels when monitored by CGM. Additionally, patients with high admission glucose levels also have greater daily glucose variability. Reasonable glucose control helps improve kidney function and reduces blood potassium levels.