In a representative sample of US adults with diabetes, 22% did not know their A1c level. The data were from more than 2700 people evaluated from 2013–2020 by the NHANES program.
22% of US adults reported not knowing their current A1c value when they participated in a recent assessment. They had been diagnosed with diabetes and had undergone an A1c blood test during the prior year.
Among participants who said they knew their most recent A1c value, 48% reported an A1c that differed by >0.5% compared with a lab-measured A1c at the time of the survey.Long-term poor glycemic control is associated with increased risk of neuropathy, nephropathy, retinopathy, and ketoacidosis in diabetes and increased risk of cardiovascular events in type 2 diabetes.
The findings reinforce the need for improved communication between adults with diabetes and their healthcare providers. Assessing how A1C results are communicated and improving patients' knowledge and understanding of A1C should be priorities for providers to maximize diabetes self-management and to mitigate the long-term negative consequences of poor glycemic control.
A1c ignorance was less common among those who were non-Hispanic White and was more common among those with lower income, less formal education, and those who did not know or did not have a target A1c value set by their healthcare provider
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