Abstract 12.1.1



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





1Department of Internal Medicine, University of Calabar Teaching Hospital, Calabar, Nigeria.    

2Department of Internal Medicine, University of Uyo Teaching Hospital, Uyo, Nigeria.



Abstract: This study was to ascertain the level of knowledge and utilization of haemoglobin A1C (HbA1c) assay among practicing doctors in Calabar, Nigeria. This cross-sectional study utilized a structured questionnaire to evaluate the knowledge of HbA1c assay among practicing doctors in Calabar. Overall scores were computed for individual doctors based on their responses. All doctors surveyed had heard of HbA1c test but only 29 doctors (41.2%) knew the correct treatment target for HbA1c. Doctors who saw more persons with diabetes performed better than other doctors (P=0.034). Doctors in Department of Internal Medicine scored higher than all other doctors (P<0.001). 45(66.2%) of surveyed doctors knew that HbA1c could be used to diagnose diabetes and 46 doctors (67.6%) knew that HbA1c could be used to decide on insulin commencement. Only 12 doctors (17.1%) correctly identified disease conditions that could affect HbA1c result. Doctors scores were not influenced by their cadre (P= 0.205), and prior participation in a diabetes care education programme (P=0.8). The commonest barriers to utilization identified were cost and availability of the test. There is a low level of knowledge among our doctors with regard to the utilization of the HbA1c test in diabetes management.


Keywords: Haemoglobin A1C, knowledge, Diabetes Mellitus.


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Last modified: 12/28/12