Do patients’ understanding of diabetes and perception of control predict higher Hba1c and complications?

Patient understanding and perception of diabetes control is important if clinicians were to allow diabetes patients to play a central role in management of their illness. We conducted a survey to see what diabetic patients generally thought of their understanding of disease and glycemic control; if...

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Main Authors:	Chin, Sze Paw, Che Abdullah, Shahrin Tarmizi, How, Soon Hin, Satwi, Sapari, Abdul Kadir, Khalid
Format:	Article
Language:	English
Published:	Faculty of Medicine, International Islamic University Malaysia 2006
Subjects:	R Medicine (General)
Online Access:	http://irep.iium.edu.my/29888/ http://irep.iium.edu.my/29888/ http://irep.iium.edu.my/29888/1/Soon.pdf

id	iium-29888
recordtype	eprints
spelling	iium-298882013-08-01T08:22:40Z http://irep.iium.edu.my/29888/ Do patients’ understanding of diabetes and perception of control predict higher Hba1c and complications? Chin, Sze Paw Che Abdullah, Shahrin Tarmizi How, Soon Hin Satwi, Sapari Abdul Kadir, Khalid R Medicine (General) Patient understanding and perception of diabetes control is important if clinicians were to allow diabetes patients to play a central role in management of their illness. We conducted a survey to see what diabetic patients generally thought of their understanding of disease and glycemic control; if these perceptions were accurate and related to complications. One hundred and eight consecutive patients (mean age 52.7± 13 years, BMI 27±5.2 kg/m2, HbA1c 9.2±2.2 %) attending diabetes clinic participated including 63% women, 60% primary or no education, and 47% duration of diabetes >10 years. 54% claimed to have a good understanding although nearly half answered questions on diabetes management and targets wrongly. 32% perceived their glycemic control to be good and were found to have lower baseline HbA1c (p<0.001), shorter duration of disease (p= 0.013), fewer or no complications (p= 0.06) and smaller 6-month deteriorations in HbA1c (p= 0.024) than patients who perceived poor control. Half of the patients over-estimated their control. Patients who wrongly perceived their diabetes control had significantly higher BMI (p <0.0001). 60% did not known they have diabetic complications. Patient understanding of diabetes remains poor. Continuing patient education is important. Patient perception of glycemic control is also poor and inversely related to complications and deterioration of HbA1c. Overweight patients are more likely to perceive glycemic control wrongly. Faculty of Medicine, International Islamic University Malaysia 2006-06 Article PeerReviewed application/pdf en http://irep.iium.edu.my/29888/1/Soon.pdf Chin, Sze Paw and Che Abdullah, Shahrin Tarmizi and How, Soon Hin and Satwi, Sapari and Abdul Kadir, Khalid (2006) Do patients’ understanding of diabetes and perception of control predict higher Hba1c and complications? International Medical Journal Malaysia, 5 (1). pp. 1-18. ISSN 1823-4631 http://www.eimjm.com/Vol5-No1/Vol5-No1-B5.htm
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	R Medicine (General)
spellingShingle	R Medicine (General) Chin, Sze Paw Che Abdullah, Shahrin Tarmizi How, Soon Hin Satwi, Sapari Abdul Kadir, Khalid Do patients’ understanding of diabetes and perception of control predict higher Hba1c and complications?
description	Patient understanding and perception of diabetes control is important if clinicians were to allow diabetes patients to play a central role in management of their illness. We conducted a survey to see what diabetic patients generally thought of their understanding of disease and glycemic control; if these perceptions were accurate and related to complications. One hundred and eight consecutive patients (mean age 52.7± 13 years, BMI 27±5.2 kg/m2, HbA1c 9.2±2.2 %) attending diabetes clinic participated including 63% women, 60% primary or no education, and 47% duration of diabetes >10 years. 54% claimed to have a good understanding although nearly half answered questions on diabetes management and targets wrongly. 32% perceived their glycemic control to be good and were found to have lower baseline HbA1c (p<0.001), shorter duration of disease (p= 0.013), fewer or no complications (p= 0.06) and smaller 6-month deteriorations in HbA1c (p= 0.024) than patients who perceived poor control. Half of the patients over-estimated their control. Patients who wrongly perceived their diabetes control had significantly higher BMI (p <0.0001). 60% did not known they have diabetic complications. Patient understanding of diabetes remains poor. Continuing patient education is important. Patient perception of glycemic control is also poor and inversely related to complications and deterioration of HbA1c. Overweight patients are more likely to perceive glycemic control wrongly.
format	Article
author	Chin, Sze Paw Che Abdullah, Shahrin Tarmizi How, Soon Hin Satwi, Sapari Abdul Kadir, Khalid
author_facet	Chin, Sze Paw Che Abdullah, Shahrin Tarmizi How, Soon Hin Satwi, Sapari Abdul Kadir, Khalid
author_sort	Chin, Sze Paw
title	Do patients’ understanding of diabetes and perception of control predict higher Hba1c and complications?
title_short	Do patients’ understanding of diabetes and perception of control predict higher Hba1c and complications?
title_full	Do patients’ understanding of diabetes and perception of control predict higher Hba1c and complications?
title_fullStr	Do patients’ understanding of diabetes and perception of control predict higher Hba1c and complications?
title_full_unstemmed	Do patients’ understanding of diabetes and perception of control predict higher Hba1c and complications?
title_sort	do patients’ understanding of diabetes and perception of control predict higher hba1c and complications?
publisher	Faculty of Medicine, International Islamic University Malaysia
publishDate	2006
url	http://irep.iium.edu.my/29888/ http://irep.iium.edu.my/29888/ http://irep.iium.edu.my/29888/1/Soon.pdf
first_indexed	2023-09-18T20:43:53Z
last_indexed	2023-09-18T20:43:53Z
_version_	1777409545263382528

Do patients’ understanding of diabetes and perception of control predict higher Hba1c and complications?

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