A Case Report of Fructosamine’s Unreliability as a Glycemic Control Assessment Tool in Nephrotic Syndrome

Fructosamine (FA) is a glycated primary amine widely used as an alternative method for the assessment of glycemic control when glycosylated hemoglobin (HbA1c) measurement is unreliable or if there is a need for short-term glycemic control monitoring. We report a case of a 36-year-old male patient wi...

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Autores principales: Senapathi, Sri HarshaVardhan, Bhavsar, Ravi, Kaur, Regina, Kim, Paul, Sachmechi, Issac
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2017
Materias:
Nephrology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5690485/
https://www.ncbi.nlm.nih.gov/pubmed/29159002
http://dx.doi.org/10.7759/cureus.1694
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author Senapathi, Sri HarshaVardhan
Bhavsar, Ravi
Kaur, Regina
Kim, Paul
Sachmechi, Issac
author_facet Senapathi, Sri HarshaVardhan
Bhavsar, Ravi
Kaur, Regina
Kim, Paul
Sachmechi, Issac
author_sort Senapathi, Sri HarshaVardhan
collection PubMed
description Fructosamine (FA) is a glycated primary amine widely used as an alternative method for the assessment of glycemic control when glycosylated hemoglobin (HbA1c) measurement is unreliable or if there is a need for short-term glycemic control monitoring. We report a case of a 36-year-old male patient with a six-year history of poorly controlled type 2 diabetes mellitus and nephrotic syndrome. As the nephrotic syndrome progressed, we observed a decline in his serum FA levels that did not correlate with his increased HbA1c due to significant albuminuria. This case report highlights the unreliability of FA in patients with nephrotic syndrome and the significance of other glycemic markers.
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spelling pubmed-56904852017-11-20 A Case Report of Fructosamine’s Unreliability as a Glycemic Control Assessment Tool in Nephrotic Syndrome Senapathi, Sri HarshaVardhan Bhavsar, Ravi Kaur, Regina Kim, Paul Sachmechi, Issac Cureus Nephrology Fructosamine (FA) is a glycated primary amine widely used as an alternative method for the assessment of glycemic control when glycosylated hemoglobin (HbA1c) measurement is unreliable or if there is a need for short-term glycemic control monitoring. We report a case of a 36-year-old male patient with a six-year history of poorly controlled type 2 diabetes mellitus and nephrotic syndrome. As the nephrotic syndrome progressed, we observed a decline in his serum FA levels that did not correlate with his increased HbA1c due to significant albuminuria. This case report highlights the unreliability of FA in patients with nephrotic syndrome and the significance of other glycemic markers. Cureus 2017-09-16 /pmc/articles/PMC5690485/ /pubmed/29159002 http://dx.doi.org/10.7759/cureus.1694 Text en Copyright © 2017, Senapathi et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Nephrology
Senapathi, Sri HarshaVardhan
Bhavsar, Ravi
Kaur, Regina
Kim, Paul
Sachmechi, Issac
A Case Report of Fructosamine’s Unreliability as a Glycemic Control Assessment Tool in Nephrotic Syndrome
title A Case Report of Fructosamine’s Unreliability as a Glycemic Control Assessment Tool in Nephrotic Syndrome
title_full A Case Report of Fructosamine’s Unreliability as a Glycemic Control Assessment Tool in Nephrotic Syndrome
title_fullStr A Case Report of Fructosamine’s Unreliability as a Glycemic Control Assessment Tool in Nephrotic Syndrome
title_full_unstemmed A Case Report of Fructosamine’s Unreliability as a Glycemic Control Assessment Tool in Nephrotic Syndrome
title_short A Case Report of Fructosamine’s Unreliability as a Glycemic Control Assessment Tool in Nephrotic Syndrome
title_sort case report of fructosamine’s unreliability as a glycemic control assessment tool in nephrotic syndrome
topic Nephrology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5690485/
https://www.ncbi.nlm.nih.gov/pubmed/29159002
http://dx.doi.org/10.7759/cureus.1694
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