Diabetes & metabolic syndrome
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Diabetes Metab Syndr · Sep 2019
The use of glycated haemoglobin (HbA1C) in determining glycemic control (and relevance of BMI) in diabetic patients in Ahmadu Bello University Teaching Hospital Zaria, Nigeria.
This study was carried out to specifically investigate the local HbA1C level and determine extent of (if any) variation from the WHO (World Health Organization) recommended threshold for the diagnosis of diabetes and prediabetes using blood glucose as a benchmark. In addition, we also looked to see what role BMI (Body Mass Index) plays among subjects used for the study. 152 subjects were used for the study: 101 diabetic subjects and 51 non-diabetic control subjects. 5 mL of blood sample was collected from each of the subjects after about 8-10 h of overnight fasting. 3-4 mL of the sample was centrifuged and the serum analysed for glucose. The remaining 1-2 ml was transferred into EDTA bottles and analysed immediately for glycated haemoglobin (HbA1C). ⋯ There are a lot of normal individuals with HbA1c level that does not conform to (or that are simply higher than) what is regarded as the threshold for the onset of diabetes or prediabetes. Generally, the local (Nigerian) glycated haemoglobin (HbA1c) level can therefore be said to be distinctly higher for a given blood glucose range and should be taken as such in the management of diabetes in this environment. Being overweight or obese is not prerequisite to the development of diabetes or abnormal glycated haemoglobin level.
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Industry 4.0 is an updated concept of smart production, which is identified with the fourth industrial revolution and the emergence of cyber-physical systems. Industry 4.0 is the next stage in the digitization of productions and industries, where such technologies and concepts as the Internet of things, big data, predictive analytics, cloud computing, machine learning, machine interaction, artificial intelligence, robotics, 3D printing, augmented reality. As an area of therapy with the best market potential and one of the most expensive global diseases, diabetes attracts the best healthcare players, who use innovative technologies. Current trends in digitalization of diabetes management are presented.