Open AccessType 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 , glycosylated haemoglobin , metabolic control analysis , 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.