CASE REPORT - Type 2 Diabetes Mellitus with HbJ trait: A management conundrum
https://doi.org/10.51866/cr1288
- Author:
Wan Natrah Wan Yaacob
1
;
Lili Husniati Yaacob
2
;
Nani Draman
3
Author Information
1. MBBS (Manipal), MMed Fam Med (USM) Department of Family Medicine Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
2. MBBS (Adelaide), MMed Fam Med(USM) Department of Family Medicine Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
3. MBBS (USM), MMed Fam Med(USM) Department of Family Medicine Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
- Publication Type:Journal Article
- Keywords:
HbA1c;
haemoglobinopathy;
HbJ trait
- MeSH:
Glycated Hemoglobin;
Hemoglobinopathies
- From:Malaysian Family Physician
2022;17(1):86-89
- CountryMalaysia
- Language:English
-
Abstract:
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.
- Full text:202508181023253790v17n1-Cr-Type-2-Diabetes-Mellitus.pdf