Diabetes care and its association with glycosylated hemoglobin level

Ahia, Chad L., Holt, Elizabeth W. and Krousel-Wood, Marie (2014) Diabetes care and its association with glycosylated hemoglobin level. American Journal of the Medical Sciences, 347 3: 245-247. doi:10.1097/MAJ.0000000000000196

Author Ahia, Chad L.
Holt, Elizabeth W.
Krousel-Wood, Marie
Title Diabetes care and its association with glycosylated hemoglobin level
Journal name American Journal of the Medical Sciences   Check publisher's open access policy
ISSN 0002-9629
Publication date 2014-03-01
Year available 2014
Sub-type Article (original research)
DOI 10.1097/MAJ.0000000000000196
Open Access Status Not Open Access
Volume 347
Issue 3
Start page 245
End page 247
Total pages 3
Place of publication Philadelphia, PA, United States
Publisher Lippincott Williams & Wilkins
Language eng
Formatted abstract
Background: This article examines the associations between patients’ source of most help with diabetes care and their glycosylated hemoglobin (A1C) levels. The extent to which differences in A1C by source of most help could be explained by perceived levels of total social support, sociodemographics, and medication adherence were also assessed.

Methods: A cross-sectional study of 205 adults with type 2 diabetes mellitus who completed a clinic survey that included questions about perceived social support, who provides the most support with their diabetes care, and medication adherence. The most recent A1C was abstracted from medical records.

Results: The mean (standard deviation) age of participants was 61 (12.3) years, 43.9% were male, 37.1% African American. After adjustment for age, sex, race, marital status, education, diabetes duration, and medication adherence, the means (95% confidence intervals) A1C by source of most help were 9.4 (8.4–10.4) for nonspouse family or friend, 8.2 (7.3–9.1) for health care worker, 8.2 (7.2–9.1) for self-reliant, and 8.1 (7.1–9.0) for spouse. A1C was significantly higher for nonspouse family or friend compared with all other groups (P < 0.01 for each comparison). Differences in A1C by source of most help could not be explained by differences in total social support or medication adherence.

Conclusions: Patients reporting a nonspouse family member or friend as their source of most help with their diabetes management had worse glycemic control than patients reporting all other sources of help.
Keyword Social support
Source of support
Type 2 diabetes mellitus
Q-Index Code CX
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
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