Type 2 Diabetes Mellitus with HbJ trait: A management conundrum | Zendy

Wan Natrah Wan Yaacob | Zendy; Lili Husniati Yaacob | Zendy; Nani Draman | Zendy

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Type 2 Diabetes Mellitus with HbJ trait: A management conundrum

Author(s) -

Wan Natrah Wan Yaacob,

Lili Husniati Yaacob,

Nani Draman

Publication year - 2022

Publication title -

malaysian family physician

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.207

H-Index - 14

eISSN - 1985-2274

pISSN - 1985-207X

DOI - 10.51866/cr1288

Subject(s) - medicine , diabetes mellitus , type 2 diabetes mellitus , trait , intensive care medicine , type 2 diabetes , endocrinology , computer science , programming language

Optimal glycaemic control is crucial in patients with diabetes mellitus (DM) to avoid episodes of hypoglycaemia and both micro- and macrovascular complications. Diabetic control relies mainly on the evaluation of haemoglobin A1c (HbA1c), which is unfortunately unreliable in patients with haemoglobinopathies. This case report describes a patient with type 2 DM and haemoglobin J (HbJ) trait, which resulted in erratic HbA1c values throughout her follow-up. Other approaches, such as self-blood glucose monitoring, are needed to evaluate glycaemic control instead of relying on HbA1c alone to guide the management DM in these patients.

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