Knowledge and use of HbA1c among patients with type 2 diabetes mellitus admitted in a tertiary hospital
Notice bibliographique
Résumé
Background: HbA1c test provides an index of average blood glucose level during the past 2-3 months. It is now widely used in management of diabetes both as a measure of long-term glycemic and as a predictor of risk for diabetic complications. In recent years there has been an increased focus on encouraging patients to be aware of HbA1c. Hence, this study was designed to explore the level of knowledge and use of HbA1c test in type 2 diabetic patients in a tertiary hospital. Methods: This cross-sectional descriptive study was conducted among 220 cases of type 2 diabetes mellitus admitted in the medicine ward of Dhaka Medical College and Hospital during the period of May 2024 to November 2024. Each individual was subjected to personal interview regarding demographic details and their level of knowledge of HbA1c by a semi-structured questionnaire. The collected data were analyzed using computer aided statistical software SSPS version 22. Chi2 test and Multivariable Logistic Regression were done to assess the relationship. Results: Among the participants, 59.1% were male and 40.9% were female. Majority (37.3%) were between 41-50 years age group, 26.8% completed higher secondary education and most (71.8%) lived in rural areas. Regarding knowledge of HbA1c test, majority of patients (63.6%) did not know about it. Moreover, only 21.4 % were aware of their target goal. Among aware patients, mean HbA1c was 8.1% whereas among unaware patients who did not know about the test, mean HbA1c was 9.2%. Higher education, urban residence, higher income, and the presence of diabetic complications were significantly associated with greater odds of HbA1c awareness. Patients with graduate-level education had the highest odds (OR = 5.80, 95% CI: 2.50–13.48, p < 0.001). Urban residents (OR = 3.10, 95% CI: 1.76–5.46, p < 0.001) and those with diabetic complications (OR = 2.20, 95% CI: 1.15–4.19, p = 0.017) were also more likely to be aware. Conversely, higher HbA1c levels were associated with lower odds of awareness (OR = 0.75, 95% CI: 0.62–0.91, p = 0.003). Conclusion: Diabetes poses a global health challenge, especially in Bangladesh, where low awareness of HbA1c leads to poor control and complications. This study reveals that most patients lack HbA1c knowledge, resulting in higher levels and more complications. Education and routine testing are crucial to improving diabetes management and outcomes in resource-limited settings. The findings suggest targeted interventions should focus on improving awareness among rural, lower-income, and less-educated populations, as well as patients with poorer glycemic control. J MEDICINE 2025; 26: 20-27
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».