Use of Home Hemoglobin A1c Test Kits to Monitor the Effectiveness of Diabetes Care

Rector, Thomas S.; Venus, Patricia J.; Thayer, Susan R.

doi:10.1016/s1070-3241(01)27023-0

Cited by 4 publications

(12 citation statements)

References 9 publications

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“…The survey explored influencing factors between kit users and non‐users. They demonstrated that people with elevated HbA 1c may still use self‐collection kits, reporting that 43% of kit users had a HbA 1c level >64 mmol/mol (8.0% NGSP) 43 . Prior to use, 91% of recipients who used the kit had perceived it would be easy to do so, compared to 75% of non‐users 43 .…”

Section: Resultsmentioning

confidence: 99%

“…They demonstrated that people with elevated HbA 1c may still use self‐collection kits, reporting that 43% of kit users had a HbA 1c level >64 mmol/mol (8.0% NGSP) 43 . Prior to use, 91% of recipients who used the kit had perceived it would be easy to do so, compared to 75% of non‐users 43 . Recipients who used the kit did so to find out how well their blood glucose was controlled (48%) and for convenience (12%).…”

Section: Resultsmentioning

confidence: 99%

“…The kit was declined by 34% of recipients because it duplicated another blood test, 22% were too busy to consider it, 21% found it difficult to use, 21% wanted to discuss it with their doctor first, 6% were concerned about sharing the results with their health insurance and only ~1% were concerned about the accuracy. 43 Reported reasons for difficulty in using the capDBS kit included difficulties with reading and understanding instructions, finger-pricking to get blood, placing blood on the test strip, and packing and mailing the blood sample. 43 Despite high reported ease of us, two capDBS studies reported 17%-33% of participants found getting enough blood to spot was difficult.…”

Section: Acceptabilitymentioning

confidence: 99%

“…43 Prior to use, 91% of recipients who used the kit had perceived it would be easy to do so, compared to 75% of nonusers. 43 Recipients who used the kit did so to find out how well their blood glucose was controlled (48%) and for convenience (12%). Recipients who did not use the kit were significantly less likely to care about the result (p < 0.05).…”

Section: Acceptabilitymentioning

confidence: 99%

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Home monitoring of haemoglobin A_1c in diabetes: A systematic review and narrative synthesis on accuracy, reliability and patient acceptability

et al. 2023

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Aim In the UK people with diabetes who do not attend annual review appointments often have higher haemoglobin A1c (HbA1c) levels. We aim to determine the acceptability of self‐collected posted capillary blood samples, and if they produce accurate and reliable HbA1c results. Methods We include adult studies comparing capillary blood to venous blood for measuring HbA1c. We exclude methods not suitable for postage. Electronic databases of MEDLINE, Embase, CINAHL, Web of Science, Google Scholar and OpenGrey were searched from inception to September 2021, as well as relevant conference abstracts. Two reviewers performed study selection, data extraction and risk of bias assessment independently. Narrative synthesis was performed. Results Our search retrieved 3747 records. Following de‐duplication and screening 30 articles were included. The mean difference (MD) and limits of agreement (LoA) between capillary and venous HbA1c were smaller and narrower respectively when micro/capillary tubes (micro/cap) were used for capillary blood storage compared to dried blood spots (capDBS) (micro/cap MD range −0.4 to 1.4 mmol/mol vs. capDBS MD range −4.3 to 7.2 mmol/mol, micro/cap LoA width 2.4 to 6 mmol/mol vs. capDBS LoA width 11.7 to 16.8 mmol/mol). After using self‐collection kits, 83%–96% of participants reported satisfaction, 87%–99% found it easy and 69%–94% reported they would use it again. Conclusion Microtubes/capillary tubes look promising as a method of self‐collecting and posting capillary blood samples for the measurement of HbA1c based on the accuracy and reliability findings presented. DBS samples demonstrated comparatively poorer accuracy. Data on acceptability were limited and further research is needed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Acceptabilitymentioning

confidence: 99%

Section: Acceptabilitymentioning

confidence: 99%

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Home monitoring of haemoglobin A_1c in diabetes: A systematic review and narrative synthesis on accuracy, reliability and patient acceptability

et al. 2023

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“…7 Although POC testing has been shown to improve glycemic control, 8 the clinical value of self-measuring of glycemic control is yet to be established with further studies. 9 To the contrary, self-monitoring of blood glucose (SMBG) is an established management tool in diabetes, and several studies have assessed its usefulness in achieving long-term glycemic control.…”

Section: Home Monitoring In Diabetesmentioning

confidence: 99%

The Value of Home Monitoring Kits in Diabetes, Hypertension, Asthma, and Oral Anticoagulation Therapy

Vincze¹,

Parthan²

2004

Journal of Pharmacy Practice

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Home monitoring devices encourage people to actively participate in their health care management. In addition, access to more data may help to make better decisions, which may ultimately lead to better health outcomes. The primary focus of this article will be on blood glucose, blood pressure, prothrombin time, and peak flow meters. The empirical evidence on the accuracy and usefulness of these home monitoring devices is discussed. Based on the evidence from the literature, erroneous reporting of the readings by the patients is a major concern. Therefore, primary practitioners are encouraged to consult with patients’ log books and their meters (if memory feature is available), instead of relying solely on self-reported values. Patients also need to be educated and trained adequately about the proper measurement technique and relevance and interpretation of the readings. Continuing education is necessary regarding the behavioral and therapeutic changes patients should carry out in accordance with performing regular home monitoring.

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The Sukaribit Smartphone App for Better Self-Management of Type 2 Diabetes: Randomized Controlled Feasibility Study

Josefsson,

Liljeroos,

Hellgren

et al. 2024

JMIR Form Res

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Background A new app, Sukaribit, was designed to enable contact between the caregiver and the patient with the intent to improve self-care and glycemic control (hemoglobin A1c [HbA1c]). Objective This study investigated the feasibility of the study methodology and the intervention in preparation for a larger effectiveness study. Methods Adults with type 2 diabetes were recruited in this randomized controlled feasibility study with a mixed methods design. The intervention group (n=28) tried Sukaribit for 2 months. They were encouraged to report blood glucose levels and medications, and they received feedback from a physician. The control group (n=31) received standard care. Both groups were evaluated with pre and postmeasurements of glycemic control (HbA1c), diabetes distress, physical activity, and self-care. Feasibility was evaluated against 5 progression criteria regarding recruitment, study methods, and active participation. Results Of the 5 progression criteria, only 2 were met or partially met. The recruitment process exceeded expectations, and data collection worked well for self-reported data but not for HbA1c measured with a home testing kit. The participants were less active than anticipated, and the effect sizes were small. Only the number of blood glucose tests per day was positively affected by the intervention, with 0.6 more tests per day in the intervention group. Conclusions Recruitment of participants to a future fully powered study may work with minor adjustments. The collection of HbA1c using home testing constituted a major problem, and an alternative strategy is warranted. Finally, the app was not used as intended. In order to proceed with a larger study, the app and study procedures need improvement.

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Use of Home Hemoglobin A1c Test Kits to Monitor the Effectiveness of Diabetes Care

Cited by 4 publications

References 9 publications

Home monitoring of haemoglobin A_1c in diabetes: A systematic review and narrative synthesis on accuracy, reliability and patient acceptability

Home monitoring of haemoglobin A_1c in diabetes: A systematic review and narrative synthesis on accuracy, reliability and patient acceptability

The Value of Home Monitoring Kits in Diabetes, Hypertension, Asthma, and Oral Anticoagulation Therapy

The Sukaribit Smartphone App for Better Self-Management of Type 2 Diabetes: Randomized Controlled Feasibility Study

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Use of Home Hemoglobin A1c Test Kits to Monitor the Effectiveness of Diabetes Care

Cited by 4 publications

References 9 publications

Home monitoring of haemoglobin A1c in diabetes: A systematic review and narrative synthesis on accuracy, reliability and patient acceptability

Home monitoring of haemoglobin A1c in diabetes: A systematic review and narrative synthesis on accuracy, reliability and patient acceptability

The Value of Home Monitoring Kits in Diabetes, Hypertension, Asthma, and Oral Anticoagulation Therapy

The Sukaribit Smartphone App for Better Self-Management of Type 2 Diabetes: Randomized Controlled Feasibility Study

Contact Info

Product

Resources

About

Home monitoring of haemoglobin A_1c in diabetes: A systematic review and narrative synthesis on accuracy, reliability and patient acceptability

Home monitoring of haemoglobin A_1c in diabetes: A systematic review and narrative synthesis on accuracy, reliability and patient acceptability