HbA1C

Question 1

What is the normal, pre diabetic and diabetic values for HbA1c, including units

Answer 1

Normal 42mmol/L or less
Pre-diabetic 42-27
Diabetic 48mmol/L or more

Question 2

What is the general structure of the consultation for Hba1C

Answer 2

1. Ask about patient’s PC
2. Checking patient’s understanding
3. Ask about patient’s condition
4. Ask the patient about their medication
5. Effect of diabetes on patient
6. PMH, DH, FH, SH
7. ICE

PUC ME PI

Question 3

What things need to be asked about patient’s complaint regarding HbA1c 3

Answer 3

1. use socrates to investigate this thoroughly
2. any other symptoms of condition (think the 5 Ts)
3. Any recent illnesses or changes to lifestyle/ diet/ stress/ steroids that could’ve caused it

Question 4

What things need to be checked about patients understanding regarding HbA1c 4

Answer 4

1. What is diabetes?
2. What is HbA1c?
3. Why do we encourage HbA1c to be low?
4. If results given, explain whether results are ideal or not

Question 5

What things need to be checked about patients condition regarding HbA1c 4

Answer 5

1. How long they’ve had diabetes
2. How well they think it’s being managed
3. risk factor check (diet, exercise, BMI, HPT control)
4. end organ damage/ symptom quick fire questions: 5 Ts, vision changes, recent TIA/ stroke/ heart attack, changes to urine and changes to sensation

How long, how well, risks, of end organ damage

Question 6

What things need to be checked about patients medication regarding HbA1c 4

Answer 6

1. How long they’ve been taking it
2. adherence- if not, find out how regularly skipping, double dosing and why they’re struggling with adherence
3. side effects/ adverse reactions
4. how effective the medication has been at controlling their diabetes

Question 7

What things need to be checked about effect of diabetes on patients life regarding HbA1c 4

Answer 7

1. mood
2. sleep
3. diet
4. ADL
5. affecting work/ personal life

My SLEEP and DIET Are AWful

Question 8

What things need to be checked about patients PMH regarding HbA1c 1

Answer 8

1. any other conditions/ co-morbidities

Question 9

What is one thing that needs to be checked throughout the HbA1c chronic disease management

Answer 9

ICE

Question 10

Low HbA1C symptoms 4

Answer 10

dizziness/ fainting, increased appetite, tiredness, increased sweating