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High Proportion of Adults With Type 2 Diabetes and Poor Glycated Hemoglobin Perceived That Their Diabetes Control Was Excellent

Objectives: As is true for other chronic illnesses, perception of disease control is pivotal to patient empowerment in diabetes care. This study aimed to describe the perception of diabetes control by patients with poor glycated hemoglobin (A1C) levels so as to explore the relationship between perce...

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Main Authors: Shahar, M.A.,, Omar, A.M.,, Loh, H.H.
Format: E-Article
Published: Elsevier B.V. 2019
Subjects:
R Medicine (General)
Online Access:http://ir.unimas.my/id/eprint/29655/
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85051942889&doi=10.1016%2fj.jcjd.2018.06.003&partnerID=40&md5=f2fab6ac4fe037e846fc60db289fef3f
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spelling my.unimas.ir.296552020-06-04T07:57:58Z http://ir.unimas.my/id/eprint/29655/ High Proportion of Adults With Type 2 Diabetes and Poor Glycated Hemoglobin Perceived That Their Diabetes Control Was Excellent Shahar, M.A., Omar, A.M., Loh, H.H. R Medicine (General) Objectives: As is true for other chronic illnesses, perception of disease control is pivotal to patient empowerment in diabetes care. This study aimed to describe the perception of diabetes control by patients with poor glycated hemoglobin (A1C) levels so as to explore the relationship between perception and various sociodemographic and disease characteristics and to measure the patients’ knowledge, attitudes and practices in diabetes care. Methods: A cross-sectional study was made involving 276 patients with type 2 diabetes mellitus. After obtaining informed consent, their sociodemographics, medical histories and most recent available blood investigations were documented. Patients were asked about their perceptions of diabetes control—whether it was excellent, moderate or poor. A Malay-language knowledge, attitudes and practice questionnaire was administered to respondents. Analyses were descriptive and exploratory. Results: The median age of the subjects and the durations of diabetes were 56 (interquartile range, 48–62) years and 8 (interquartile range, 4–13) years, respectively. The median A1C level was 9.5% (interquartile range, 8.3%–11.4%). Despite having poor A1C levels, 28.4% of patients perceived that their diabetes control was excellent; 58.9% perceived it as moderate, and only 12.7% accurately perceived it as poor. A significant number of those with higher education had wrong perceptions, indicating that other factors, such as effective communication, need to be considered. The absence of an association between perception and duration of diabetes suggests that information given over the years did not contribute to patients’ understanding of disease control. Younger patients had better knowledge scores. Those with higher education levels had higher quartiles of knowledge and attitude but not practice scores. Conclusions: This study demonstrated discordance between perceived diabetes control and actual A1C levels, which may hinder effective diabetes care. © 2018 Diabetes Canada Elsevier B.V. 2019-03 E-Article PeerReviewed Shahar, M.A., and Omar, A.M., and Loh, H.H. (2019) High Proportion of Adults With Type 2 Diabetes and Poor Glycated Hemoglobin Perceived That Their Diabetes Control Was Excellent. Canadian Journal of Diabetes, 43 (2). pp. 98-104. ISSN 1499-2671 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85051942889&doi=10.1016%2fj.jcjd.2018.06.003&partnerID=40&md5=f2fab6ac4fe037e846fc60db289fef3f 10.1016/j.jcjd.2018.06.003
institution Universiti Malaysia Sarawak
building Centre for Academic Information Services (CAIS)
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sarawak
content_source UNIMAS Institutional Repository
url_provider http://ir.unimas.my/
topic R Medicine (General)
spellingShingle R Medicine (General)
Shahar, M.A.,
Omar, A.M.,
Loh, H.H.
High Proportion of Adults With Type 2 Diabetes and Poor Glycated Hemoglobin Perceived That Their Diabetes Control Was Excellent
description Objectives: As is true for other chronic illnesses, perception of disease control is pivotal to patient empowerment in diabetes care. This study aimed to describe the perception of diabetes control by patients with poor glycated hemoglobin (A1C) levels so as to explore the relationship between perception and various sociodemographic and disease characteristics and to measure the patients’ knowledge, attitudes and practices in diabetes care. Methods: A cross-sectional study was made involving 276 patients with type 2 diabetes mellitus. After obtaining informed consent, their sociodemographics, medical histories and most recent available blood investigations were documented. Patients were asked about their perceptions of diabetes control—whether it was excellent, moderate or poor. A Malay-language knowledge, attitudes and practice questionnaire was administered to respondents. Analyses were descriptive and exploratory. Results: The median age of the subjects and the durations of diabetes were 56 (interquartile range, 48–62) years and 8 (interquartile range, 4–13) years, respectively. The median A1C level was 9.5% (interquartile range, 8.3%–11.4%). Despite having poor A1C levels, 28.4% of patients perceived that their diabetes control was excellent; 58.9% perceived it as moderate, and only 12.7% accurately perceived it as poor. A significant number of those with higher education had wrong perceptions, indicating that other factors, such as effective communication, need to be considered. The absence of an association between perception and duration of diabetes suggests that information given over the years did not contribute to patients’ understanding of disease control. Younger patients had better knowledge scores. Those with higher education levels had higher quartiles of knowledge and attitude but not practice scores. Conclusions: This study demonstrated discordance between perceived diabetes control and actual A1C levels, which may hinder effective diabetes care. © 2018 Diabetes Canada
format E-Article
author Shahar, M.A.,
Omar, A.M.,
Loh, H.H.
author_facet Shahar, M.A.,
Omar, A.M.,
Loh, H.H.
author_sort Shahar, M.A.,
title High Proportion of Adults With Type 2 Diabetes and Poor Glycated Hemoglobin Perceived That Their Diabetes Control Was Excellent
title_short High Proportion of Adults With Type 2 Diabetes and Poor Glycated Hemoglobin Perceived That Their Diabetes Control Was Excellent
title_full High Proportion of Adults With Type 2 Diabetes and Poor Glycated Hemoglobin Perceived That Their Diabetes Control Was Excellent
title_fullStr High Proportion of Adults With Type 2 Diabetes and Poor Glycated Hemoglobin Perceived That Their Diabetes Control Was Excellent
title_full_unstemmed High Proportion of Adults With Type 2 Diabetes and Poor Glycated Hemoglobin Perceived That Their Diabetes Control Was Excellent
title_sort high proportion of adults with type 2 diabetes and poor glycated hemoglobin perceived that their diabetes control was excellent
publisher Elsevier B.V.
publishDate 2019
url http://ir.unimas.my/id/eprint/29655/
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85051942889&doi=10.1016%2fj.jcjd.2018.06.003&partnerID=40&md5=f2fab6ac4fe037e846fc60db289fef3f
_version_ 1669010445434880000
score 13.211869

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