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Saudi Journal of Kidney Diseases and Transplantation
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Table of Contents   
LETTER TO THE EDITOR  
Year : 2014  |  Volume : 25  |  Issue : 3  |  Page : 657-658
New-onset diabetes after transplantation and oral glucose tolerance test


1 Wiwanitkit House, Bangkhae, Bangkok, Thailand
2 Visiting Professor, Hainan Medical University, China

Click here for correspondence address and email

Date of Web Publication9-May-2014
 

How to cite this article:
Wiwanitkit S, Wiwanitkit V. New-onset diabetes after transplantation and oral glucose tolerance test. Saudi J Kidney Dis Transpl 2014;25:657-8

How to cite this URL:
Wiwanitkit S, Wiwanitkit V. New-onset diabetes after transplantation and oral glucose tolerance test. Saudi J Kidney Dis Transpl [serial online] 2014 [cited 2019 Nov 15];25:657-8. Available from: http://www.sjkdt.org/text.asp?2014/25/3/657/132228
To the Editor,

The recent report on "new-onset diabetes after transplantation (NODAT) and oral glucose tolerance test (OGTT)" is very interesting. [1] Shay et al noted that "the patients with overt NODAT had, in addition, low fasting insulin (insulin secretory defect). OGTT may be used for the early detection of NODAT." [1] In fact, OGTT is a useful tool for the determination of diabetes in any situation. [2] For the patients post-transplantation, Sharif et al proposed that OGTT could be a useful tool "to risk stratify each patient for the development of NODAT." [2] However, its usefulness for utilization as a screening tool for early detection of diabetes should be considered. The procedure of the OGTT is complex and there can be error if the practitioner misses some procedures according to the guideline. [2] The problem of requisition errors for blood glucose test is a common problem that is usually forgotten. [3] Also, the problem of false-negatives should be kept in mind in the interpretation of the OGTT results.[5]

 
   References Top

1.Sahay M, Sahay RK, Narayan G, Anuradha. New-onset diabetes after transplantation - Role of oral glucose tolerance test for diagnosis and study of risk factors. Saudi J Kidney Dis Transpl 2013;24:897-902.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.Sharif A, Moore RH, Baboolal K. The use of oral glucose tolerance tests to risk stratify for new-onset diabetes after transplantation: An underdiagnosed phenomenon. Transplantation 2006;82:1667-72.  Back to cited text no. 2
    
3.Wiwanitkit V. Glucose tolerance test: A brief summary of basic principles and important considerations. Chula Med J 2006;50:825-30.  Back to cited text no. 3
    
4.Wiwanitkit V, Lekngarm P. Requisition errors for blood glucose tests: A hospital-based study. Lab Med. 2007;38:559-60.  Back to cited text no. 4
    
5.Diagnostic pitfall. Fasting blood glucose in the normal range-but still diabetic. MMW Fortschr Med 2002;144:56.  Back to cited text no. 5
    

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Correspondence Address:
Dr. Somsri Wiwanitkit
Wiwanitkit House, Bangkhae, Bangkok
Thailand
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DOI: 10.4103/1319-2442.132228

PMID: 24821171

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