Department of Urology, Faculty of Medicine, Erzincan Binali Yildirim University, Erzincan, Turkey.
Urologia. 2020 Nov;87(4):209-213. doi: 10.1177/0391560320919593. Epub 2020 May 13.
Diabetes mellitus is a progressive, chronic, systemic, metabolic disease that must be managed effectively. Its prevalence is increasing rapidly. We investigated whether urologists' awareness and recognition of glucosuria contributed to the diagnosis of diabetes and regulation of blood glucose.
A total of 39,053 patients were retrospectively evaluated between January 2018 and February 2019. Of them, 16,211 had undergone urinalysis for varied reasons. Glucosuria was semi-quantitatively measured as (+), (++), (+++), and (++++). Patients were assessed in terms of whether they had been referred to endocrinology or internal medicine departments within the 15 days and the presence/absence of a previous or new diagnosis of diabetes mellitus by measuring blood glucose and HgbA1c levels.
Glucosuria was detected in 665 patients (4.1%), of whom 495 were included in the study. 417 (84.2%) had been previously diagnosed with diabetes mellitus, and 56 (11.3%) newly received a diabetes mellitus diagnosis. Blood glucose and HbA1c values were normal in 22 (4.4%) patients with glucosuria. HgbA1c value was determined as 7 or above in 381 (91.3%) of 417 cases with a previous diabetes mellitus diagnosis.
Referring all patients detected to have glucosuria in the spot urine test at any time regardless of fasting/non-fasting to the relevant departments can contribute to the diagnosis and treatment of diabetes mellitus disease.
糖尿病是一种进行性、慢性、全身性、代谢性疾病，必须有效管理。其患病率正在迅速增加。我们研究了泌尿科医生对糖尿的认识和识别是否有助于糖尿病的诊断和血糖调节。
回顾性评估了 2018 年 1 月至 2019 年 2 月间的 39053 例患者。其中，16211 例因各种原因接受了尿液分析。尿糖采用半定量法测量为(+)、(++)、(+++)和(++++++)。评估患者是否在 15 天内被转介到内分泌科或内科，以及通过测量血糖和 HgbA1c 水平是否存在/不存在既往或新诊断的糖尿病。
在 665 例（4.1%）患者中检测到尿糖，其中 495 例纳入研究。417 例（84.2%）患者既往被诊断为糖尿病，56 例（11.3%）新诊断为糖尿病。22 例（4.4%）尿糖患者血糖和 HgbA1c 值正常。在 417 例既往有糖尿病诊断的病例中，有 381 例（91.3%）的 HgbA1c 值为 7 或以上。
无论空腹/非空腹，随时将所有在即时尿液检测中发现尿糖的患者转介到相关科室，有助于糖尿病的诊断和治疗。
