Knowledge and outcome measure of HbA1c testing in Asian Indian patients with type 2 diabetes from a tertiary care center

Kumpatla, Satyavani; Medempudi, Srikanth; Manoharan, Deepa; Viswanathan, Vijay

doi:10.4103/0970-0218.66858

Cited by 6 publications

(3 citation statements)

References 17 publications

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“…HCPs have a crucial role to play in discussing glycaemia results with their patients and formulating mutually agreed glycaemic targets. Kumpatla et al 30 showed that a knowledge of HbA1c and the target goal had a positive effect on maintaining better glycaemic control among people with type 2 diabetes.…”

Section: Discussionmentioning

confidence: 99%

Why do some people with type 2 diabetes who are using insulin have poor glycaemic control? A qualitative study

Tong

Vethakkan

2015

BMJ Open

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ObjectiveTo explore factors influencing poor glycaemic control in people with type 2 diabetes using insulin.Research designA qualitative method comprising in-depth individual interviews. A semistructured interview guide was used. The interviews were audiorecorded, transcribed verbatim and analysed using a thematic approach.ParticipantsSeventeen people with type 2 diabetes using insulin with glycated haemoglobin (HbA1c) ≥9% for >1 year.SettingThe Primary Care Clinic and Diabetes Clinic in the University of Malaya Medical Centre (UMMC), Malaysia.ResultsData analysis uncovered four themes: lifestyle challenges in adhering to medical recommendations; psychosocial and emotional hurdles; treatment-related factors; lack of knowledge about and self-efficacy in diabetes self-care.ConclusionsFactors that explain the poor glycaemic control in people with type 2 diabetes using insulin were identified. Healthcare providers could use these findings to address patients’ concerns during consultations and help to improve glycaemic control.

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Section: Discussionmentioning

confidence: 99%

Why do some people with type 2 diabetes who are using insulin have poor glycaemic control? A qualitative study

Tong

Vethakkan

2015

BMJ Open

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“…The fundamentals of diabetes control largely depend upon drug therapy and lifestyle measures (increased physical activity and restriction of energy intake/diabetic diet) (6). Improved glycaemic control may reduce the development and progression of diabetic complications to some extent (7). Wealth of information is available on improving glycaemic control and decrease glycosylated haemoglobin (HbA1c) up to 2% through diet control (8-10).…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Consumption of Diabetic Diet among Type 2 Diabetic Subjects from Ahmedabad, Western India

Patel

et al. 2013

J Health Popul Nutr

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This cross-sectional study assessed the current situation of and factors associated with consumption of diabetic diet among 399 type 2 diabetes mellitus (T2DM) subjects from Ahmedabad, Western India. The study was performed with diagnosed (at least one year old) diabetic subjects who attended the Department of Diabetology, All India Institute of Diabetes and Research and Yash Diabetes Specialties Centre (Swasthya Hospital), Ahmedabad during July 2010-November 2010. The subjects completed an interviewer-administered questionnaire. The questionnaire included variables, such as sociodemographic factors, family history of diabetes, behavioural profile, risk profile (glycaemic status, hypertension, and obesity), and diet-related history (consumption of diabetic diet, consumption of low fat/skimmed milk, method of cooking, and sources for diet advice). Blood pressure, body mass index, glycosylated haemoglobin (HbA1c) level, and fasting lipid profile were measured. All analyses including multivariate logistic regression were conducted using SPSS, version 11.5. In total, 399 T2DM subjects (65% male, 35% female) with mean age of 53.16±7.95 years were studied. Although 73% of T2DM subjects were consuming diabetic diet, the good glycaemic control (HbA1c level <7%) was achieved only in 35% of the subjects. The majority (75%) of the subjects had a positive family history of diabetes, and 52% were obese. In 77%, the main source of dietary advice was doctor. In 36%, the main methods of cooking were: boiling and roasting. The final multivariate model showed that visit to dietician, level of education, intake of low fat, and family history of diabetes were independent predictors for diabetic diet consumption among T2DM subjects. However, longitudinal and cohort studies are required to establish the association between consumption of diabetic diet and glycaemic control.

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“…The sample size was calculated based on a study conducted by Manoharan D et al 8 which found that among the patients with diabetes since more than one year, 37.8% had HbA1c less than 7%. Using the formula sample size 𝑛 = ( -/ )…”

Section: Sample Size and Sampling Methodmentioning

confidence: 99%

Poor Glycaemic Control and It’s Risk Factors Among Diabetes Patients in An Urban Area of Western India

Rajan,

Bhabhor,

Kharde

et al. 2024

Natl J Community Med

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Introduction: Diabetes is a major public health problem worldwide including India. Poor glycaemic control is a major risk factor for the development of diabetes-related complications. Hence, monitoring and achieving good glycaemic control is critical to reducing the risk of complications and improving outcomes in people with diabetes. This study conducted to determine the prevalence of poor glycaemic control and to identify the factors associated with poor glycaemic control. Methodology: This cross-sectional descriptive study conducted in an urban area among those patients having diabetes since more than five years. All participants were interviewed and tested for HbA1c. Cases with good glycaemic control (HbA1c <7%) were compared with those with poor glycaemic control (HbA1c ≥7%). Multivariate analysis was conducted to find out independent determinants. Results: Out of 632 cases, poor glycaemic control was found in 81.3% cases. Multivariate logistic regression indicated that living without a spouse (p 0.036), Female gender (p 0.032), MBI >23(kg/m2) (p <0.001), poor medication adherence (p 0.022), and high perceived stress level (p 0.011) were independent predictors of poor glycaemic control. More than 10 years duration of diabetes was found to be associated with good glycaemic control (p 0.016) Conclusion: There are a high proportion of patients with poor glycaemic control. Higher BMI, poor drug adherence and higher stress level are independently associated with poor glycaemic control.

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Knowledge and outcome measure of HbA1c testing in Asian Indian patients with type 2 diabetes from a tertiary care center

Cited by 6 publications

References 17 publications

Why do some people with type 2 diabetes who are using insulin have poor glycaemic control? A qualitative study

Why do some people with type 2 diabetes who are using insulin have poor glycaemic control? A qualitative study

Factors Associated with Consumption of Diabetic Diet among Type 2 Diabetic Subjects from Ahmedabad, Western India

Poor Glycaemic Control and It’s Risk Factors Among Diabetes Patients in An Urban Area of Western India

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