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目的:糖尿病患者除了检测尿糖、血糖指标外,应提高对检测糖化血红蛋白认识的重要性,因糖化血红蛋白是评价血糖控制情况的可靠的实验室指标。方法:尿糖采用干化学试纸条葡萄糖氧化酶法,血糖为葡萄糖氧化酶法,糖化血红蛋白采用散射比浊法。结果:尿糖检测方便、经济、无痛感,对糖尿病的诊断无特异性,只能起到过筛和参考作用;空腹和餐后2h血糖是诊断糖尿病的主要指标,但不可依据一项血糖检测结果诊断为糖尿病或将其作为治疗该病控制程度的指标。结论:糖化血红蛋白能稳定可靠地反映以前6~8周内血糖水平控制情况,是糖尿病患者血糖监控的金标准,在血糖控制,糖尿病慢性并发症的防治中具有十分重要的应用价值。
OBJECTIVE: In addition to detecting urine glucose and blood glucose, diabetics should raise their awareness of the importance of detecting HbA1c because HbA1C is a reliable laboratory indicator for evaluating glycemic control. Methods: Urine sugar by dry chemical test strip glucose oxidase method, glucose as glucose oxidase method, glycated hemoglobin by nephelometry method. Results: Urine was detected conveniently, economically and painlessly. It had no specificity for the diagnosis of diabetes mellitus. It could only serve as screening and reference. Fasting and 2h postprandial blood glucose were the main indicators for the diagnosis of diabetes, but not based on a blood glucose test The result is diagnosed as diabetes or used as an indicator of the degree of control of the disease. Conclusion: HbA1c can stably and reliably reflect the control of blood glucose level in the past 6 ~ 8 weeks. It is the gold standard of blood glucose monitoring in patients with diabetes. It has very important value in the prevention and control of blood sugar control and chronic complications of diabetes.