Perception of diabetes control among patients with poor glycated hemoglobin

Introduction: Despite advances in the management of diabetes, the rate of control of diabetes in the population remains modest. Perception of diabetes control is a key to patient empowerment. The aim of this study was to describe the perception of diabetes control among patient with poorly controlle...

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Main Authors:	Shahar, Mohammad Arif, Tahir, Mohd Faiz, Omar, Ahmad Marzuki
Format:	Article
Language:	English English
Published:	Kulliyyah (Faculty) of Medicine, International Islamic University Malaysia. 2017
Subjects:	R Medicine (General) RC Internal medicine
Online Access:	http://irep.iium.edu.my/58581/ http://irep.iium.edu.my/58581/ http://irep.iium.edu.my/58581/1/Perception%20of%20diabetes%20control%20Abstract-Book-for-IMJM-final-v2-43.pdf http://irep.iium.edu.my/58581/2/Abstract-Book-for-IMJM-final-v2-43.pdf

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spelling	iium-585812018-01-11T02:16:10Z http://irep.iium.edu.my/58581/ Perception of diabetes control among patients with poor glycated hemoglobin Shahar, Mohammad Arif Tahir, Mohd Faiz Omar, Ahmad Marzuki R Medicine (General) RC Internal medicine Introduction: Despite advances in the management of diabetes, the rate of control of diabetes in the population remains modest. Perception of diabetes control is a key to patient empowerment. The aim of this study was to describe the perception of diabetes control among patient with poorly controlled diabetes. Materials and method: A cross sectional study was done involving 276 patients with type 2 diabetes mellitus in the out-patient settings. After obtaining an informed consent, the socio-demography and medical history of each patient was recorded. Their most recent available blood investigations were documented. Patients were then asked on their perception of diabetes control whether it was excellent, moderate or poor. Analyses were descriptive and exploratory. Results: The median age of subjects was 56.0 (48.0,62.0) years old, with a median duration of diabetes of 8 (4,13) years. The median HbA1C was 9.5 (8.3,11.4)% with a fasting blood sugar of 9.7 (7.1,13.8) mmol/L. Despite having poor HbA1C, 28.4% of patients perceived that their diabetes control was excellent; 58.9% perceived moderate� and only 12.7% accurately perceived poor control. The reverse relationship between perception of disease and education may indicate that other factors such as effective communication might need to be considered. The absence of association between perception and duration of diabetes may suggest that information given to patient over the years had poor impact on their understanding of disease control. Conclusion: This study demonstrated that there was presence of discordance between perception of diabetes control and HbA1C. Identifying the discordance between perception of diabetes control and HbA1C should be the first step in delivering a personalized diabetes education for patient. Kulliyyah (Faculty) of Medicine, International Islamic University Malaysia. 2017-09 Article PeerReviewed application/pdf en http://irep.iium.edu.my/58581/1/Perception%20of%20diabetes%20control%20Abstract-Book-for-IMJM-final-v2-43.pdf application/pdf en http://irep.iium.edu.my/58581/2/Abstract-Book-for-IMJM-final-v2-43.pdf Shahar, Mohammad Arif and Tahir, Mohd Faiz and Omar, Ahmad Marzuki (2017) Perception of diabetes control among patients with poor glycated hemoglobin. Internal Medical Journal Malaysia, 16 (Supplementary Issue No 1). p. 37. E-ISSN 1823-4631 http://iiumedic.net/imjm/v1/download/volume_16_supp_no_1/Abstract-Book-for-IMJM-final-v2-43.pdf
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	R Medicine (General) RC Internal medicine
spellingShingle	R Medicine (General) RC Internal medicine Shahar, Mohammad Arif Tahir, Mohd Faiz Omar, Ahmad Marzuki Perception of diabetes control among patients with poor glycated hemoglobin
description	Introduction: Despite advances in the management of diabetes, the rate of control of diabetes in the population remains modest. Perception of diabetes control is a key to patient empowerment. The aim of this study was to describe the perception of diabetes control among patient with poorly controlled diabetes. Materials and method: A cross sectional study was done involving 276 patients with type 2 diabetes mellitus in the out-patient settings. After obtaining an informed consent, the socio-demography and medical history of each patient was recorded. Their most recent available blood investigations were documented. Patients were then asked on their perception of diabetes control whether it was excellent, moderate or poor. Analyses were descriptive and exploratory. Results: The median age of subjects was 56.0 (48.0,62.0) years old, with a median duration of diabetes of 8 (4,13) years. The median HbA1C was 9.5 (8.3,11.4)% with a fasting blood sugar of 9.7 (7.1,13.8) mmol/L. Despite having poor HbA1C, 28.4% of patients perceived that their diabetes control was excellent; 58.9% perceived moderate� and only 12.7% accurately perceived poor control. The reverse relationship between perception of disease and education may indicate that other factors such as effective communication might need to be considered. The absence of association between perception and duration of diabetes may suggest that information given to patient over the years had poor impact on their understanding of disease control. Conclusion: This study demonstrated that there was presence of discordance between perception of diabetes control and HbA1C. Identifying the discordance between perception of diabetes control and HbA1C should be the first step in delivering a personalized diabetes education for patient.
format	Article
author	Shahar, Mohammad Arif Tahir, Mohd Faiz Omar, Ahmad Marzuki
author_facet	Shahar, Mohammad Arif Tahir, Mohd Faiz Omar, Ahmad Marzuki
author_sort	Shahar, Mohammad Arif
title	Perception of diabetes control among patients with poor glycated hemoglobin
title_short	Perception of diabetes control among patients with poor glycated hemoglobin
title_full	Perception of diabetes control among patients with poor glycated hemoglobin
title_fullStr	Perception of diabetes control among patients with poor glycated hemoglobin
title_full_unstemmed	Perception of diabetes control among patients with poor glycated hemoglobin
title_sort	perception of diabetes control among patients with poor glycated hemoglobin
publisher	Kulliyyah (Faculty) of Medicine, International Islamic University Malaysia.
publishDate	2017
url	http://irep.iium.edu.my/58581/ http://irep.iium.edu.my/58581/ http://irep.iium.edu.my/58581/1/Perception%20of%20diabetes%20control%20Abstract-Book-for-IMJM-final-v2-43.pdf http://irep.iium.edu.my/58581/2/Abstract-Book-for-IMJM-final-v2-43.pdf
first_indexed	2023-09-18T21:22:52Z
last_indexed	2023-09-18T21:22:52Z
_version_	1777411998052515840

Perception of diabetes control among patients with poor glycated hemoglobin

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