The Relationship Between HbA1c Levels and Severity of COVID-19 Patients with Diabetes Mellitus at Haji General Hospital, East Java Province

Nabil Salim Ambar (1), Muhimmatul Aaliyah Rahmadina (2), Mohammad Subkhan (3), Audy Meutia Ariana (4)
(1) Department of Clinical Pathology, Faculty of Medicine, Muhammadiyah University of Surabaya, Indonesia, Indonesia,
(2) Faculty of Medicine, Muhammadiyah University of Surabaya, Indonesia, Indonesia,
(3) Department of Pulmonology, Faculty of Medicine, Muhammadiyah University of Surabaya, Indonesia, Indonesia,
(4) Department of Internal Medicine, Faculty of Medicine, Muhammadiyah University of Surabaya, Indonesia, Indonesia

Abstract

One of the factors influencing SARS-CoV-2 infection is comorbidity. Diabetes mellitus is a comorbidity with a high mortality rate. Poor glucose control in patients can affect cellular immune responses and increase morbidity and mortality associated with infections. The severity of COVID-19 is classified into 5 levels: asymptomatic, mild, moderate, severe, and critical. HbA1c is a good test for identifying the diabetes status of COVID-19 patients. According to the American Diabetes Association, HbA1c levels are considered controlled if <7% and uncontrolled if ≥7%. This study aims to analyze HbA1c levels in COVID-19 patients with diabetes mellitus from 2020 to 2022. This study uses the productive age category (15-64 years). To determine the relationship between HbA1c levels and the severity of COVID-19 patients with diabetes mellitus at Haji General Hospital, East Java Province, from 2020 to 2022. This research employs a cross-sectional, analytical observational method with a consecutive sampling technique involving 96 hospitalized COVID-19 patients. Data collection was conducted through medical record observation. The majority of the samples were male, with an average age of 53 years. The Fisher Exact Test yielded a p-value of 0.13, which is greater than the significance level (0.05), indicating no significant relationship between HbA1c levels and the severity of COVID-19 in diabetic patients. There is no significant relationship between HbA1c levels and the severity of COVID-19 in diabetic patients at Haji General Hospital, East Java Province.

References

Read More

Authors

Nabil Salim Ambar
Muhimmatul Aaliyah Rahmadina
muhimmatul.aaliyah.rahmadina-2020@fk.um-surabaya.ac.id (Primary Contact)
Mohammad Subkhan
Audy Meutia Ariana
Ambar, N. S., Rahmadina, M. A., Subkhan, M., & Ariana, A. M. (2025). The Relationship Between HbA1c Levels and Severity of COVID-19 Patients with Diabetes Mellitus at Haji General Hospital, East Java Province. Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya, 9(01). https://doi.org/10.30651/jqm.v9i01.23444

Article Details