Evidence map›Paper›PMID 40895994›Full record

ReviewCureus2025

Use of Fructosamine for Glycemic Monitoring in Patients With Sickle Cell Disease and Diabetes: A Systematic Review.

Mohammed Gaffar Mohammed, Nada A Alsiddig, Lobna A Ibrahim Hag

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Mohammed Gaffar MohammedInternal Medicine, Dr. Sulaiman Al-Habib Hospital Al Suwaidi, Riyadh, SAU.
Nada A AlsiddigInternal Medicine, Dr. Sulaiman Al-Habib Hospital Al Suwaidi, Riyadh, SAU.
Lobna A Ibrahim HagMedicine and Surgery, Omdurman Islamic University, Omdurman, SDN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sickle cell disease is characterized by various forms of hemoglobin that interfere with hemoglobin A1c (HbA1c) testing, which is commonly used to diagnose and monitor diabetes. This interference puts patients with sickle cell disease at risk of inaccurate monitoring and misdiagnosis due to improperly planned HbA1c testing. Despite awareness of these issues, there is still disagreement regarding the most appropriate method of measuring HbA1c in patients with sickle cell disease, along with a lack of clear guidance on using fructosamine as an alternative marker in patients with diabetes and sickle cell disease. We employed a systematic review technique to assess the efficacy of fructosamine in diagnosing and monitoring diabetes in patients with sickle cell disease. The study showed that fructosamine is highly associated with fasting blood glucose levels in patients with sickle cell trait, and even more so in those with sickle cell disease and poorly controlled diabetes. It also demonstrated a fair association with HbA1c, as measured by some of the recommended instruments for use in patients with sickle cell disease. These results suggest that fructosamine can play a valuable role in managing diabetes in patients with sickle cell trait and disease, along with HbA1c, as HbA1c is widely used to monitor diabetes, even in patients with diseases that might affect the accuracy of HbA1c measurement.

Indexed as

fructosamine and haemoglobin a1c in sickle cellfructosamine in diabetesfructosamine in diabetes with sickle cellfructosamine in sickle cell patienthyperglycemia and fructosaminesickle cell anemia

Identifiers

PMID40895994
PMCPMC12399018

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.