MIT-LCP / mimic-code

MIMIC Code Repository: Code shared by the research community for the MIMIC family of databases
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What is the specific TESTs of glucose? What is the control level of the glucose? #1462

Open ljz756245026 opened 1 year ago

ljz756245026 commented 1 year ago

The measure

Description

This is a clinical knowledge. I am doing analysis on MIMIC-IV(2.0) dataset. What I have done is that

SELECT * FROM mimiciv_hosp.d_labitems where label like '%lucose%' and fluid='Blood'

The result is

50809   "Glucose"   "Blood" "Blood Gas"
50931   "Glucose"   "Blood" "Chemistry"
52027   "Glucose, Whole Blood"  "Blood" "Blood Gas"
52569   "Glucose"   "Blood" "Chemistry"

Then, I run

SELECT * FROM mimiciv_hosp.labevents WHERE ITEMID=50809 LIMIT 1000
I got the glucose value successfully. Now, here is a question. How do you GROUPING the glucose value? There are several way to do blood glucose test(e.g. A1C Test, Fasting Blood Sugar Test, Glucose Tolerance Test, Random Blood Sugar Test ). For different tests, we can see whether the patients get diabetes according to the following tabe. Result* A1C Test Fasting Blood Sugar Test Glucose Tolerance Test Random Blood Sugar Test
Diabetes 6.5% or above 126mg//dL or above 200mg//dL or above 200mg//dL or above
Prediabetes 5.7-6.4% 100-125mg//dL 140-199mg//dL N//A
Normal Below 5.7% 99mg//dL or below 140mg//dL or below N//A

Of course, we can obtain information from the Diagnoses related forms (ICD-9, ICD-10). I am now concerned about Glucose, and I hope to understand the test method and grouping method of this indicator (as shown in the table). For GLUCOSE, what interval is normal, what interval is prediabetes, and what interval is diabetes. This test method and grouping method for my research, look forward to your reply.

alistairewj commented 1 year ago

I don't think the context of the lab tests are available, unfortunately. If you are looking at in-patient labs, then given that these are patients admitted under emergent conditions (and potentially in the ICU), I think it's fair to assume they are all random blood sugar tests. If you are looking at outpatient labs, it's harder to say.