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September 2, 2026Advances in Clinical Medical ResearchOpen Access

A Cross-Sectional Comparative Study of Glycated Albumin and Fructosamine as Complementary Glycaemic Biomarkers Across the Spectrum of Dysglycaemia

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Key result

Glycated albumin rises progressively from prediabetes to T2DM, showing the strongest separation across glycemic stages.

  • n=300

Population

300 participants aged 18–60 years, divided into controls, prediabetes/impaired glucose homeostasis and…

Design

Cross-sectional

Authors

MManishaJJJaya Jain

Discussion

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Implication

Glycated albumin and fructosamine show progressive increases from normal glucose tolerance to T2DM, supporting their potential use as complementary markers of recent glycaemic exposure.

Key Points

  • To evaluate differences in fasting plasma glucose, HbA1c, fructosamine, and glycated albumin across individuals with normal glucose regulation, prediabetes, and type 2 diabetes mellitus.
  • Conducted a cross-sectional comparative study in India enrolling 300 participants aged 18–60 years divided equally into controls (N=100), prediabetes (N=100), and established type 2 diabetes mellitus (N=100).
  • Measured fasting plasma glucose, HbA1c, serum fructosamine, and glycated albumin using standard laboratory methods, analyzing group differences using one-way ANOVA and pairwise comparisons.
  • Both serum fructosamine and glycated albumin demonstrated a progressive, stepwise increase across the spectrum from normal glucose regulation to prediabetes and type 2 diabetes mellitus.
  • Glycated albumin demonstrated the greatest statistical separation among all evaluated biomarkers across the three clinical cohorts.

Study Design

Type

Cross-Sectional (n=300)

Multicenter

No

Structured PICO

P
Population
300 participants aged 18-60 years, divided equally into controls, prediabetes, and established T2DM groups to evaluate glycaemic biomarkers.
C
Comparator
Comparison between normal glucose regulation, prediabetes, and T2DM groups
O
Outcome
Difference between fasting plasma glucose (FPG), HbA1c, fructosamine and glycated albumin (GA) between the groupssurrogate

Glycated albumin and fructosamine show progressive increases from normal glucose tolerance to T2DM, supporting their potential use as complementary markers of recent glycaemic exposure.

Cite This Study

Manisha et al. (2026) conducted a cross-sectional in Dysglycaemia (n=300). Prediabetes and Type 2 Diabetes Mellitus vs. Normal glucose regulation was evaluated on Differences in fasting plasma glucose, HbA1c, fructosamine, and glycated albumin across glucose regulation groups. Fructosamine and glycated albumin levels progressively increased from normal glucose regulation to prediabetes and T2DM, with glycated albumin showing the greatest statistical separation.

synapsesocial.com/papers/6a97e2f6c562ede874ec7657https://doi.org/10.5281/zenodo.22193202
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