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At-home hemoglobin A1c testing during COVID-19 improved glycemic control.

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  • 1CVS Health, 93 Worcester St, Wellesley, MA 02482.

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|March 8, 2024
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Summary

At-home hemoglobin A1c (HbA1c) testing kits effectively increased testing frequency for type 2 diabetes management. This intervention also led to significant HbA1c level reductions in patients.

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Area of Science:

  • Endocrinology
  • Public Health
  • Health Services Research

Background:

  • COVID-19 has worsened access to routine chronic disease management tests.
  • Hemoglobin A1c (HbA1c) testing is crucial for monitoring type 2 diabetes (T2D).
  • Barriers to regular HbA1c testing impact T2D patient outcomes.

Purpose of the Study:

  • To evaluate if at-home HbA1c test kits increase testing frequency.
  • To determine if these kits lead to HbA1c level changes 6 months post-testing.
  • To assess if self-reinforcement education aids sustained HbA1c testing.

Main Methods:

  • Retrospective analysis of a randomized, controlled quality improvement intervention.
  • Involved 41,214 commercial members with T2D.
  • Intervention groups received opt-in/opt-out at-home HbA1c kits or self-reinforcement messaging.

Main Results:

  • At-home HbA1c kits increased testing rates by 4.9% compared to controls.
  • Members completing at-home tests showed a 0.38% HbA1c reduction.
  • Self-reinforcement messaging resulted in a 0.37% HbA1c reduction.

Conclusions:

  • At-home HbA1c testing is an effective intervention for increasing testing rates in T2D patients.
  • This approach facilitates HbA1c reduction over time.
  • Home-based testing offers a novel solution to improve chronic disease management.