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Screening for Risk Factors of Prediabetes Among Adult Patients at Sohag University Hospital

Recruiting
Conditions
PreDiabetes
Interventions
Diagnostic Test: HbA1c
Diagnostic Test: lipid profile
Diagnostic Test: CBC
Diagnostic Test: Alb/cr ratio
Diagnostic Test: serum creatinine .
Diagnostic Test: CRP
Diagnostic Test: urine analysis
Diagnostic Test: ECG
Diagnostic Test: fundus examination
Registration Number
NCT05864183
Lead Sponsor
Sohag University
Brief Summary

* Prediabetes is an intermediate state of hyperglycemia with glycemic parameters above normal but below the diabetes threshold..

* during the average 3 years of follow-up Prediabetes is diagnosed based on laboratory tests: fasting plasma glucose level (100-125 mg/dl) ;HbA1c, (5.7-6.4%) or plasma glucose level after an oral glucose tolerance test ( 140-199 mg/dl).

* Reports estimate that more than 470 million people will have prediabetes by 2030.

* According to an expert panel of the American Diabetes Association, up to 70% of individuals with prediabetes will eventually develop diabetes.

* Observational evidence suggests as association between prediabetes and complications of diabetes such early nephropathy(10%) , small fiber neuropathy(18-25 %), early retinopathy (8-12%) and risk of macrovascular disease (52%) .

* Screening for prediabetes is designed to save lives or enhance an individual's quality of life by early detection so that screening will minimize the risk of developing diabetes or its complications .

Detailed Description

* In this case control study we aim to screen for risk factors of prediabetes among adult patients to minimize the risk of developing diabetes or its complications .

* Prediabetes screening is also required to minimize medical costs such as hospitalization, outpatient care, surgery, medications, and laboratory test costs .

* Several studies had shown efficacy of lifestyle interventions in diabetes prevention by targeting obesity with increase in physical activity and dietary changes with a relative risk reduction of 40%-70% in adults with prediabetes ,also there is increasing evidence to prove the efficacy of pharmacotherapy in prevention of diabetes in adults with prediabetes

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
200
Inclusion Criteria
  • Adult patient above 18 years old .
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Exclusion Criteria
  • all patients known to be diabetics .
  • pregnancy .
  • chronic depleting diseases,
  • Those who were taking drugs known to influence blood glucose levels e.g. metformin, thiazolidinedione and steroids.
Read More

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
control groupHbA1cnon prediabetic
case groupHbA1cprediabetic
case grouplipid profileprediabetic
case groupserum creatinine .prediabetic
case groupECGprediabetic
case groupurine analysisprediabetic
control groupCBCnon prediabetic
control groupserum creatinine .non prediabetic
control groupCRPnon prediabetic
control groupurine analysisnon prediabetic
case groupAlb/cr ratioprediabetic
control grouplipid profilenon prediabetic
control groupAlb/cr rationon prediabetic
case groupCBCprediabetic
case groupCRPprediabetic
case groupfundus examinationprediabetic
control groupECGnon prediabetic
control groupfundus examinationnon prediabetic
Primary Outcome Measures
NameTimeMethod
comparison between the measurement of HbA1c in normal non prediabetics and prediabetics at Sohag university hospital .6 months

analysis of HbA1c measurements and compare the results in both groups

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Sohag university hospital

🇪🇬

Sohag, Egypt

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