The validity of monitoring the control of diabetes with random blood glucose testing

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dc.contributor.authorDaramola, Oyekemi Funkeen_ZA
dc.contributor.authorMash, Boben_ZA
dc.date.accessioned2014-07-07T12:16:03Z
dc.date.available2014-07-07T12:16:03Z
dc.date.issued2013
dc.descriptionCITATION: Daramola, O. F. & Mash, B. 2013. The validity of monitoring the control of diabetes with random blood glucose testing. South African Family Practice, 55(6):579-580.
dc.descriptionThe original publication is available at http://www.safpj.co.za
dc.description.abstractIt is important to decide if a patient with diabetes has good glycaemic control in order to guide treatment and to offer behaviour change counselling. Currently, determining random blood glucose (RBG) is usually carried out in primary care in the public sector to make this decision. This study investigates the validity of these decisions. Retrospective data from a district hospital setting were used to analyse the correlation between glycated haemoglobin (HbA1c) and RBG, the best predictive value of RBG, and its predictive properties. The best value of RBG to predict control (HbA1c ≤ 7%) was 9.8 mmol/l. However, this threshold only gave a sensitivity of 77% and a specificity of 75%. Clinicians would be wrong 23% of the time when using RBG to determine glycaemic control. Attempts should be made to make HbA1c more available for clinical decision-making. Point-of-care testing for HbA1c should be considered.
dc.description.urihttp://www.safpj.co.za/index.php/safpj/article/view/3872
dc.description.versionPublisher's version
dc.format.extent2 pages
dc.identifier.citationDaramola, O. F. & Mash, B. 2013. The validity of monitoring the control of diabetes with random blood glucose testing. South African Family Practice, 55(6):579-580.
dc.identifier.issn2078-6204 (online)
dc.identifier.issn2078-6190 (print)
dc.identifier.urihttp://hdl.handle.net/10019.1/92792
dc.language.isoen
dc.publisherMedpharm Publications
dc.rights.holderSouth African Academy of Family Physicians
dc.subjectDiabetes -- South Africaen_ZA
dc.subjectNon-insulin-dependent diabetesen_ZA
dc.subjectBlood sugar monitoringen_ZA
dc.titleThe validity of monitoring the control of diabetes with random blood glucose testingen_ZA
dc.typeArticle
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