Back to Search Start Over

An Evaluation of Point-of-Care HbA1c, HbA1c Home Kits, and Glucose Management Indicator: Potential Solutions for Telehealth Glycemic Assessments

Authors :
Dessi P. Zaharieva
Ananta Addala
Priya Prahalad
Brianna Leverenz
Nora Arrizon-Ruiz
Victoria Y. Ding
Manisha Desai
Amy B. Karger
David M. Maahs
Source :
Diabetology; Volume 3; Issue 3; Pages: 494-501
Publication Year :
2022
Publisher :
MDPI AG, 2022.

Abstract

During the COVID-19 pandemic, fewer in-person clinic visits resulted in fewer point-of-care (POC) HbA1c measurements. In this sub-study, we assessed the performance of alternative glycemic measures that can be obtained remotely, such as HbA1c home kits and Glucose Management Indicator (GMI) values from Dexcom Clarity. Home kit HbA1c (n = 99), GMI, (n = 88), and POC HbA1c (n = 32) were collected from youth with T1D (age 9.7 ± 4.6 years). Bland–Altman analyses and Lin’s concordance correlation coefficient (𝜌c) were used to characterize the agreement between paired HbA1c measures. Both the HbA1c home kit and GMI showed a slight positive bias (mean difference 0.18% and 0.34%, respectively) and strong concordance with POC HbA1c (𝜌c = 0.982 [0.965, 0.991] and 0.823 [0.686, 0.904], respectively). GMI showed a slight positive bias (mean difference 0.28%) and fair concordance (𝜌c = 0.750 [0.658, 0.820]) to the HbA1c home kit. In conclusion, the strong concordance of GMI and home kits to POC A1c measures suggest their utility in telehealth visits assessments. Although these are not candidates for replacement, these measures can facilitate telehealth visits, particularly in the context of other POC HbA1c measurements from an individual.

Details

ISSN :
26734540
Volume :
3
Database :
OpenAIRE
Journal :
Diabetology
Accession number :
edsair.doi.dedup.....29d8217ed06a59bc159aa309809612f8
Full Text :
https://doi.org/10.3390/diabetology3030037