Patiño-Fernández Anna Maria, Eidson Margaret, Sanchez Janine, Delamater Alan M
University of Miami Miller School of Medicine, Department of Pediatrics, Miami, FL 33101, USA.
Child Health Care. 2010 Apr 1;38(2):157-167. doi: 10.1080/02739610902813328.
The purpose of this study was to examine youths' knowledge of the hemoglobin A1c (HbA1c) test and glycemic control. Seventy youths (11-16 year olds) with type 1 diabetes were interviewed concerning their knowledge of the HbA1c test, health risks associated with particular HbA1c values, and their own glycemic goals. Results revealed that only 13% of youths accurately described the HbA1c test. Fewer correctly identified the HbA1c ranges for good, fair, and poor glycemic control. The majority of youths did not know the blood glucose values corresponding to specific HbA1c results. Only a small number of youth correctly estimated the short-term and long-term risks associated with maintenance of HbA1c of 7% and 12%. In this sample of mostly lower-income, minority youths with type 1 diabetes, there was a significant lack of knowledge concerning the meaning and implications of the HbA1c test. Findings suggest that interventions for this patient population should use the HbA1c test results to help young patients to better understand and set goals for their glycemic control.
本研究的目的是调查青少年对糖化血红蛋白（HbA1c）检测及血糖控制的了解情况。对70名1型糖尿病青少年（年龄在11至16岁之间）进行了访谈，询问他们对HbA1c检测的了解、与特定HbA1c值相关的健康风险以及他们自己的血糖目标。结果显示，只有13%的青少年准确描述了HbA1c检测。更少的人能正确识别血糖控制良好、一般和较差时的HbA1c范围。大多数青少年不知道与特定HbA1c结果对应的血糖值。只有少数青少年正确估计了维持HbA1c在7%和12%时的短期和长期风险。在这个以低收入少数族裔青少年为主的1型糖尿病样本中，对HbA1c检测的意义和影响存在明显的认知不足。研究结果表明，针对这一患者群体的干预措施应利用HbA1c检测结果，帮助年轻患者更好地理解并设定血糖控制目标。
