Key result
Higher HbA1c is linked to metabolic syndrome in non-diabetic patients, averaging 8.7% versus 6.2%.
Why the study?
Early detection of insulin resistance is essential due to increasing metabolic syndrome and diabetes, but a simple precise measurement method is not currently available.
Is HbA1c a reliable indicator for metabolic syndrome in non-diabetic patients?
Case-Control (n=90)
Is HbA1c a reliable indicator for metabolic syndrome in non-diabetic patients?
Absolute Event Rate: 8.7% vs 6.2%
HbA1c may serve as a useful marker for identifying metabolic syndrome and insulin resistance in non-diabetic patients.
HbA1c elevation may signal metabolic syndrome in non-diabetics; leaves open its reliability as a diagnostic marker pending prospective validation.
With the metabolic syndrome and diabetes mellitus increase in the recent decade, the importance of early detection of insulin resistance is essential. However, a simple method is not currently available for precise measurements. Therefore the aim of this study was to elucidate the association of HbA 1c with metabolic syndrome as a constellation of cardiovascular risk factors. The study population consisted of 45 subjects with metabolic syndrome and 45 free of metabolic syndrome (control group).Total cholesterol, triglycerides, glucose, HbA 1c , body mass index (BMI), waist circumference (WC), systolic and diastolic blood pressure were measured in both groups. HbA 1c levels are found much more in MS group than the control group, 8,7% and 6,2%, respectively. The sensitivity and specificity of HbA 1c is significantly higher in metabolic syndrome patients, 86,7% and 46,67%, respectively. Additionally, subjects with metabolic syndrome exhibited significantly higher blood glucose, triglyceride, systolic/diastolic blood pressure and cholesterol. Our results suggest that HbA 1c may be a marker for metabolic syndrome and may identify in a certain degree insulin resistance subjects.
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Šutković et al. (2013) conducted a case-control in Metabolic syndrome in non-diabetic patients (n=90). Metabolic syndrome vs. Free of metabolic syndrome was evaluated on HbA1c levels. HbA1c levels were higher in non-diabetic patients with metabolic syndrome compared to controls (8.7% vs 6.2%), suggesting it may serve as a marker for metabolic syndrome and insulin resistance.
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