Outcome of Patients with ST-T Changes in Non STSegment Elevation Myocardial Infarction

Mohammad Arifur Rahman
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Abstract

This article discusses the fundamental characteristics of measured glucose levels and predicted glycated hemoglobin A1c (HbA1c) values among three sets of collected data, measured finger-piercing and continuous glucose monitoring (CGM) sensor device collected glucose levels at 15-minute (15-min) and 5-minute (5-min) intervals. The average glucose (in milligram per deciliter-mg/dL) is listed below: Finger glucose: 109 mg/dL (100%) Sensor at 15-min: 120 mg/dL (109%) Sensor at 5-min: 117 mg/dL (107%) Using candlestick chart, the comparison of average glucoses during this period between two sensor glucose (mg/dL) data (15-min/5-min) are as follows: Open glucose: 108/111 Close glucose: 115/115 Maximum (max) glucose: 170 /175 Minimum (min) glucose: 85/83 Average glucose: 120/117 Additional analysis of time above range (TAR)≥140 mg/dL for hyperglycemia, time within the range (TIR) from 70-140 mg/dL for normal, time below range (TBR)≤70 mg/dL for hypoglycemia based on two sensor candlesticks revealing the following information in a specific format of TAR%/ TIR%/TBR%. 15-min:18.3%, 80.5%, 1.2% 5-min: 17.0%, 81.9%, 1.1% By evaluating the results of the TIR analysis, the 5-min glucose levels appear to be marginally healthier (1.4%) than the 15-min ones. During the coronavirus pandemic (COVID 19) quarantine period, the author lived a rather unique lifestyle which is extremely calm with regular routines, such as eating home-cooked meals and exercising on a regular basis. As a result, his HbA1c has decreased from 6.6% to 6.3% with an average A1c of 6.4% without taking any diabetes medications. However, these three different measurement methods still provide three different sets of glucoses levels which are within a 10% margin of differences, while the HbA1c values are particularly close to each other between the finger-piercing and CGM 15-min.
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非st段抬高型心肌梗死患者ST-T改变的预后
本文讨论了三组收集数据中测量的葡萄糖水平和预测的糖化血红蛋白(HbA1c)值的基本特征,测量的手指穿刺和连续血糖监测(CGM)传感器装置每隔15分钟(15分钟)和5分钟(5分钟)采集葡萄糖水平。平均葡萄糖(毫克/分升-毫克/分升)如下:手指葡萄糖:109毫克/分升(100%)传感器15分钟:120毫克/分升(109%)传感器5分钟:117毫克/分升(107%)使用烛台图,这段时间内两个传感器葡萄糖(mg/分升)数据(15分钟/5分钟)的平均葡萄糖比较如下:开放葡萄糖:108/111关闭葡萄糖:115/115最大(max)葡萄糖:170 /175最小(min)葡萄糖:85/83平均葡萄糖:120/117根据两个传感器烛台以特定格式显示以下信息:高血糖高于范围(TAR)≥140 mg/dL,正常血糖在范围(TIR) 70-140 mg/dL,低血糖低于范围(TBR)≤70 mg/dL。通过评估TIR分析的结果,5 min的血糖水平似乎比15 min的血糖水平略健康(1.4%)。在新冠肺炎疫情隔离期间,作者过着一种非常独特的生活方式,非常平静,有规律的日常生活,比如吃家常饭菜,定期锻炼。结果,在没有服用任何糖尿病药物的情况下,他的HbA1c从6.6%降至6.3%,平均A1c为6.4%。然而,这三种不同的测量方法仍然提供了三组不同的血糖水平,这些血糖水平在10%的差异范围内,而HbA1c值在穿指穿刺和CGM 15分钟之间特别接近。
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