Type 2 & other diabetes

Home monitoring of haemoglobin A1c in diabetes: A systematic review and narrative synthesis on accuracy, reliability and patient acceptability

Diabet MedPublished Systematic review with narrative synthesis

Authors' conclusion

Microtubes/capillary tubes look promising as a method of self-collecting and posting capillary blood samples for the measurement of HbA1c based on the accuracy and reliability findings presented. DBS samples demonstrated comparatively poorer accuracy. Data on acceptability were limited and further research is needed.

Study context

Population
Adult studies comparing capillary to venous blood for measuring HbA1c, methods suitable for postage30 articles
Comparison
Self-collected capillary blood vs venous blood for HbA1c
Outcome
Agreement between capillary and venous HbA1c (MD and limits of agreement)

Pooled result

As reported in the abstract

GroupMD rangeLimits of agreement (LoA) width
Micro/cap−0.4 to 1.42.4 to 6
capDBS−4.3 to 7.211.7 to 16.8

MD range

Micro/cap−0.4 to 1.4
capDBS−4.3 to 7.2

Limits of agreement (LoA) width

Micro/cap2.4 to 6
capDBS11.7 to 16.8

Further pooled results

Acceptability of self-collection kits

Reported satisfaction
83%-96%
Found it easy
87%-99%
Would use it again
69%-94%

Original publication

Home monitoring of haemoglobin A1c in diabetes: A systematic review and narrative synthesis on accuracy, reliability and patient acceptability. Diabet Med. Published 17 January 2023. doi:10.1111/dme.15033

Composed by AI from the published abstract and checked against it. How Briefs are made →

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