Saudi Journal of Kidney Diseases and Transplantation

LETTER TO THE EDITOR
Year
: 2014  |  Volume : 25  |  Issue : 3  |  Page : 657--658

New-onset diabetes after transplantation and oral glucose tolerance test


Somsri Wiwanitkit1, Viroj Wiwanitkit2,  
1 Wiwanitkit House, Bangkhae, Bangkok, Thailand
2 Visiting Professor, Hainan Medical University, China

Correspondence Address:
Dr. Somsri Wiwanitkit
Wiwanitkit House, Bangkhae, Bangkok
Thailand




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;25:657-658


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 2020 Jul 10 ];25:657-658
Available from: http://www.sjkdt.org/text.asp?2014/25/3/657/132228


Full Text

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

1Sahay 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.
2Sharif 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.
3Wiwanitkit V. Glucose tolerance test: A brief summary of basic principles and important considerations. Chula Med J 2006;50:825-30.
4Wiwanitkit V, Lekngarm P. Requisition errors for blood glucose tests: A hospital-based study. Lab Med. 2007;38:559-60.
5Diagnostic pitfall. Fasting blood glucose in the normal range-but still diabetic. MMW Fortschr Med 2002;144:56.