Self-knowledge of HbA1c in people with Type 2 Diabetes Mellitus and its association with glycaemic control

Hina Trivedi; Laura J. Gray; Samuel Seidu; Melanie J. Davies; Guillaume Charpentier; Ulf Lindblad; Christiane Kellner; John J. Nolan; Agnieszka Pazderska; Guy Rutten; Marina Trento; Kamlesh Khunti

doi:10.1016/j.pcd.2017.03.011

Self-knowledge of HbA1c in people with Type 2 Diabetes Mellitus and its association with glycaemic control

Hina Trivedi^*, Laura J. Gray, Samuel Seidu, Melanie J. Davies, Guillaume Charpentier, Ulf Lindblad, Christiane Kellner, John J. Nolan, Agnieszka Pazderska, Guy Rutten, Marina Trento, Kamlesh Khunti

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Objective The aim of this study was to evaluate the prevalence of accurate self-knowledge of a patient's own HbA1c level (HbA1c_SK), as a component of structural education (University Hospital's of Leicester (UHL), 2013) and its association with glycaemic control. Methods Data from the GUIDANCE study, a cross-sectional study involving 7597 participants from eight European countries was used. HbA1c_SK was evaluated and compared with laboratory measured HbA1c levels (HbA1c_LAB), which represented the measure of glycaemic control. Accuracy of the self-reported HbA1c was evaluated by using agreement statistical methods. Results The prevalence of HbA1c_SK was 49.4%. Within this group, 78.3% of the participants had accurately reported HbA1c_SK. There was good level of agreement between HbA1c_SK and HbA1c_LAB (intra-class correlation statistic = 0.84, p < 0.0001). Participants with accurately reported HbA1c_SK were found to have a statistically significantly lower HbA1c_LAB compared to participants with inaccurately reported HbA1c_SK (7.0% versus 7.3%, p < 0.001). Conclusion Nearly half of the patients had self-knowledge of their own HbA1c level. Moreover, the participants with accurately reported HbA1c_SK were found to have associated better glycaemic control.

Original language	English
Pages (from-to)	414-420
Number of pages	7
Journal	Primary Care Diabetes
Volume	11
Issue number	5
DOIs	https://doi.org/10.1016/j.pcd.2017.03.011
Publication status	Published - 1 Oct 2017

Keywords

Education
Glycaemic control
HbA1c
Self-care behaviour
Self-management

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10.1016/j.pcd.2017.03.011

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@article{1953ab612d464af3af273ad1b06c2130,

title = "Self-knowledge of HbA1c in people with Type 2 Diabetes Mellitus and its association with glycaemic control",

abstract = "Objective The aim of this study was to evaluate the prevalence of accurate self-knowledge of a patient's own HbA1c level (HbA1cSK), as a component of structural education (University Hospital's of Leicester (UHL), 2013) and its association with glycaemic control. Methods Data from the GUIDANCE study, a cross-sectional study involving 7597 participants from eight European countries was used. HbA1cSK was evaluated and compared with laboratory measured HbA1c levels (HbA1cLAB), which represented the measure of glycaemic control. Accuracy of the self-reported HbA1c was evaluated by using agreement statistical methods. Results The prevalence of HbA1cSK was 49.4%. Within this group, 78.3% of the participants had accurately reported HbA1cSK. There was good level of agreement between HbA1cSK and HbA1cLAB (intra-class correlation statistic = 0.84, p < 0.0001). Participants with accurately reported HbA1cSK were found to have a statistically significantly lower HbA1cLAB compared to participants with inaccurately reported HbA1cSK (7.0% versus 7.3%, p < 0.001). Conclusion Nearly half of the patients had self-knowledge of their own HbA1c level. Moreover, the participants with accurately reported HbA1cSK were found to have associated better glycaemic control.",

keywords = "Education, Glycaemic control, HbA1c, Self-care behaviour, Self-management",

author = "Hina Trivedi and Gray, {Laura J.} and Samuel Seidu and Davies, {Melanie J.} and Guillaume Charpentier and Ulf Lindblad and Christiane Kellner and Nolan, {John J.} and Agnieszka Pazderska and Guy Rutten and Marina Trento and Kamlesh Khunti",

year = "2017",

month = oct,

day = "1",

doi = "10.1016/j.pcd.2017.03.011",

language = "English",

volume = "11",

pages = "414--420",

journal = "Primary Care Diabetes",

issn = "1751-9918",

publisher = "Elsevier",

number = "5",

}

TY - JOUR

T1 - Self-knowledge of HbA1c in people with Type 2 Diabetes Mellitus and its association with glycaemic control

AU - Trivedi, Hina

AU - Gray, Laura J.

AU - Seidu, Samuel

AU - Davies, Melanie J.

AU - Charpentier, Guillaume

AU - Lindblad, Ulf

AU - Kellner, Christiane

AU - Nolan, John J.

AU - Pazderska, Agnieszka

AU - Rutten, Guy

AU - Trento, Marina

AU - Khunti, Kamlesh

PY - 2017/10/1

Y1 - 2017/10/1

N2 - Objective The aim of this study was to evaluate the prevalence of accurate self-knowledge of a patient's own HbA1c level (HbA1cSK), as a component of structural education (University Hospital's of Leicester (UHL), 2013) and its association with glycaemic control. Methods Data from the GUIDANCE study, a cross-sectional study involving 7597 participants from eight European countries was used. HbA1cSK was evaluated and compared with laboratory measured HbA1c levels (HbA1cLAB), which represented the measure of glycaemic control. Accuracy of the self-reported HbA1c was evaluated by using agreement statistical methods. Results The prevalence of HbA1cSK was 49.4%. Within this group, 78.3% of the participants had accurately reported HbA1cSK. There was good level of agreement between HbA1cSK and HbA1cLAB (intra-class correlation statistic = 0.84, p < 0.0001). Participants with accurately reported HbA1cSK were found to have a statistically significantly lower HbA1cLAB compared to participants with inaccurately reported HbA1cSK (7.0% versus 7.3%, p < 0.001). Conclusion Nearly half of the patients had self-knowledge of their own HbA1c level. Moreover, the participants with accurately reported HbA1cSK were found to have associated better glycaemic control.

AB - Objective The aim of this study was to evaluate the prevalence of accurate self-knowledge of a patient's own HbA1c level (HbA1cSK), as a component of structural education (University Hospital's of Leicester (UHL), 2013) and its association with glycaemic control. Methods Data from the GUIDANCE study, a cross-sectional study involving 7597 participants from eight European countries was used. HbA1cSK was evaluated and compared with laboratory measured HbA1c levels (HbA1cLAB), which represented the measure of glycaemic control. Accuracy of the self-reported HbA1c was evaluated by using agreement statistical methods. Results The prevalence of HbA1cSK was 49.4%. Within this group, 78.3% of the participants had accurately reported HbA1cSK. There was good level of agreement between HbA1cSK and HbA1cLAB (intra-class correlation statistic = 0.84, p < 0.0001). Participants with accurately reported HbA1cSK were found to have a statistically significantly lower HbA1cLAB compared to participants with inaccurately reported HbA1cSK (7.0% versus 7.3%, p < 0.001). Conclusion Nearly half of the patients had self-knowledge of their own HbA1c level. Moreover, the participants with accurately reported HbA1cSK were found to have associated better glycaemic control.

KW - Education

KW - Glycaemic control

KW - HbA1c

KW - Self-care behaviour

KW - Self-management

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DO - 10.1016/j.pcd.2017.03.011

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SN - 1751-9918

VL - 11

SP - 414

EP - 420

JO - Primary Care Diabetes

JF - Primary Care Diabetes

IS - 5

ER -

Self-knowledge of HbA1c in people with Type 2 Diabetes Mellitus and its association with glycaemic control

Abstract

Keywords

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