Improving patients' knowledge on the relationship between HbA1c and mean plasma glucose improves glycaemic control among persons with poorly controlled diabetes

Abstract

Background: Recent recommendation advocates the reporting of HbA1c in terms of mean plasma glucose. We examined the impact of improving patients' interpretation of a given HbA1c value on glycaemic control. Methods: We conducted a questionnaire survey among 111 patients attending a hospital diabetes clinic. Patients were provided with information relating to the association between HbA1c and mean plasma glucose levels. Glycaemic control among 80 patients with poor glycaemic control was assessed before and approximately seven months after such intervention.

A Multifactorial Intervention to Enhance Adherence to Medications and Disease-Related Knowledge in Type 2 Diabetic Patients in Southern Punjab, Pakistan

“…It was found that knowledge of HbA1c is poor among diabetic patients. Improvement in understanding of HbA1c is directly related with improvement in glycemic control as reported in other studies [14]. The present study also found that increase in knowledge regarding dietary restrictions and exercise resulted in improvement in glycemic control as reported in other interventions studies aimed at increasing exercise combined with dietary restrictions [15].…”

Short-term outcomes of patients with Type 2 diabetes mellitus treated with canagliflozin compared with sitagliptin in a real-world setting

“…HbA1c ≥ 9% is a commonly employed cut-off point indicating uncontrolled glycaemia. (17) At the end of the 24-week follow-up, all patients treated with canagliflozin 300 mg achieved HbA1c < 9% while 42.9% of patients in the sitagliptin 100 mg group still had HbA1c ≥ 9% (Figs. 2a & b).…”

Perspectives on living with coeliac disease in remission : Daily life experiences, symptoms and well-being

“…People need to see the benefits of lifestyle changes, and the knowledge must also simplify and improve life for them [98]. Knowledge alone is thus limited to inducing a person to implement changes in self-care management, unless the person feels motivated.…”