Publisher: University of Calabar Teaching Hospital

Awareness and Utilization of Haemoglobin A1C Estimation As A Glycaemic Monitoring Tool In Persons With Diabetes By Medical Practitioners In Calabar, Nigeria: A Clinical Practice Audit

O. E. Essien, A. A. Otu, C. C. Odigwe, V. A. Umoh, H. O. Okpa
KEYWORDS: Haemoglobin A1C, knowledge, Diabetes Mellitus.

ABSTRACT:

This study was to ascertain the level of knowledge and utilization of haemoglobin AlC (HbAlc)assay among practicing doctors in Calabar, Nigeria. This cross-sectional study utilized a structuredquestionnaire to evaluate the knowledge of HbAlc assay among practicing doctors in Calabar. Overallscores were computed for individual doctors based on their responses. All doctors surveyed had heardof HbAlc test but only 29 doctors (41.2%) knew the correct treatment target for HbAlc. Doctors whosaw more persons with diabetes performed better than other doctors (P=0.034). Doctors in Departmentof Internal Medicine scored higher than all other doctors (P<0.001). 45(66.2%) of surveyed doctors knewthat HbAlc could be used to diagnose diabetes and 46 doctors (67.6%) knew that HbAlc could be usedto decide on insulin commencement. Only 12 doctors (17.1%) correctly identified disease conditionsthat could affect HbAlc result. Doctors scores were not influenced by their cadre (P= 0.205), and priorparticipation in a diabetes care education programme (P=0.8). The commonest barriers to utilizationidentified were cost and availability of the test. There is a low level of knowledge among our doctorswith regard to the utilization of the HbAlc test in diabetes management.


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