AI Article Synopsis
- The study evaluates how the management of type 2 diabetes by residents changes when factoring in the 0.5% margin of error associated with point-of-care (POC) HbA1c devices.
- A survey was conducted where residents considered two patients with POC HbA1c results: one 0.5% higher and one 0.5% lower, to assess potential changes in management.
- Results showed that 21% of cases led to management changes, primarily among patients with HbA1c levels near the glycemic target, suggesting that POC testing is useful for poorly controlled patients, while lab serum testing may be better for those close to their target.
Article Abstract
Aims: Point-of-care (POC) HbA1c is frequently used as a surrogate for serum HbA1c. We aimed to determine if resident management of type 2 diabetes changed after accounting for the + 0.5% margin of error associated with POC HbA1c devices.
Methods: Residents were surveyed in an outpatient clinic regarding two of their patients with type 2 diabetes for which they had obtained a POC HbA1c. For one patient, the resident was asked if management would change if the POC HbA1c were 0.5% higher (called the positive case), and for another if management would change if POC HbA1c were 0.5% lower (negative case).
Results: Twelve of 58 (21%) cases had a change in management. Of the 27 cases where POC HbA1c was near the glycemic target (defined as POC HbA1c ≥6.0% and <8.0%), 11 (41%) resulted in a change in management while one (3%) of the 31 cases outside that interval had a change in management.
Conclusion: POC HbA1c testing is well-suited for patients with poorly controlled type 2 diabetes while serum HbA1c testing may be more appropriate when near a patient's personalized HbA1c target since small changes in HbA1c can lead to differences in medical management.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.pcd.2022.09.013 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!