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Related Experiment Videos

Barriers to A1C testing among a managed care population.

Steven Delaronde1

  • 1Health Management Programs, ConnectiCare, Inc & Affiliates, Farmington, Connecticut 06032, USA. sdelaronde@connecticare.com

The Diabetes Educator
|March 31, 2005
PubMed
Summary

Many adults with diabetes miss recommended A1C tests due to lack of awareness or physician communication. Improving diabetes self-management education can boost adherence to American Diabetes Association (ADA) guidelines.

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Area of Science:

  • Endocrinology
  • Public Health
  • Health Services Research

Background:

  • The American Diabetes Association (ADA) recommends at least two A1C tests annually for diabetes management.
  • Adherence to A1C testing guidelines is crucial for monitoring glycemic control and preventing complications.

Purpose of the Study:

  • To investigate the reasons why adults with diabetes do not receive the recommended minimum of two A1C tests per year.
  • To identify barriers to A1C testing adherence among diabetic patients.

Main Methods:

  • A survey was administered to 740 randomly selected adult members with diabetes from ConnectiCare, a regional managed care organization.
  • The questionnaire collected data on the number of A1C tests received and reasons for non-adherence to ADA recommendations.

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  • A 26% response rate (n=192) was achieved after a telephone reminder was sent to non-respondents.

    • Main Results:

    • 33% of respondents with diabetes reported fewer than two A1C tests in the past year.
    • Key reasons for not meeting the ADA recommendation included unawareness of the guideline (49%), lack of physician communication (38%), unfamiliarity with the A1C test (33%), and infrequent physician visits (19%).

    Conclusions:

    • Diabetes self-management education is vital for promoting adherence to ADA recommendations like regular A1C testing.
    • Addressing barriers through patient education, disease management programs, and physician training can improve A1C testing rates.