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Glycosylated albumin (GA) stands as an alternative glycemic marker when glycosylated hemoglobin measurements exhibit abnormal values owing to the various complications affecting the life span of erythrocytes (1). However, GA is affected in patients with albumin metabolism disorders such as nephrotic syndrome, liver cirrhosis, and thyroid disorders (2). Moreover, there are several reports on the renal handling of GA in diabetic nephropathy (3–5). The stage of diabetic nephropathy may affect the GA/A1C ratio. In this study, we examined the effect of the urinary albumin-to-creatinine ratio (UACR) on GA/A1C in type 2 diabetic patients with normoalbuminuria or microalbuminuria.This was a cross-sectional study. A total group of 835 patients with type 2 diabetes was divided into four groups according to their UACR, as follows: the low-normoalbuminuria group consisted of 261 …

diabetes care

The Ratio of Glycosylated Albumin to Glycosylated Hemoglobin Differs Between Type 2 Diabetic Patients With Low Normoalbuminuria and Those With High Normoalbuminuria or Microalbuminuria