Key result
Among patients admitted with acute coronary syndrome without known diabetes, unrecognized diabetes mellitus was found in 21.1%, prediabetes in 14.1%, and stress hyperglycemia in 9.8%.
Why the study?
What is the prevalence of unrecognized diabetes mellitus in patients admitted with acute coronary syndrome?
Observational (n=583)
What is the prevalence of unrecognized diabetes mellitus in patients admitted with acute coronary syndrome?
Over 20% of patients admitted with ACS have unrecognized diabetes, and HbA1c testing is helpful to differentiate this from stress-induced hyperglycemia.
May support HbA1c screening in ACS without known diabetes; leaves open effects on outcomes.
We assessed the prevalence of unrecognized diabetes mellitus (DM) in patients with acute coronary syndrome (ACS) as determined by elevated glycosylated hemoglobin (HbA1c), fasting plasma glucose (FPG), and random plasma glucose (RPG) levels. This prospective study recruited 583 patients admitted with ACS without previous diagnosis of DM during 1-year period. Glycosylated hemoglobin was checked for most patients especially those with high values of FPG and or RPG. Patients were classified according to their glycemic state into 123 (21.1%) with DM, 82 (14.1%) with prediabetes, and 57(9.8%) with stress hyperglycemia, while 321 (55%) were classified as nondiabetics. Glycosylated hemoglobin estimation in the setting of ACS was helpful in the diagnosis of DM to eliminate the effect of stress-induced hyperglycemia that might accompany this condition.
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Abdullatef et al. (2012) conducted an observational in Acute Coronary Syndrome (n=583). Unrecognized diabetes mellitus vs. Nondiabetics was evaluated on Prevalence of unrecognized diabetes mellitus. Among patients admitted with acute coronary syndrome without known diabetes, unrecognized diabetes mellitus was found in 21.1%, prediabetes in 14.1%, and stress hyperglycemia in 9.8%.
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