ArticleScandinavian journal of primary health care2011
The relationship between HbA1c level, symptoms and self-rated health in type 2 diabetic patients.
Article in Scandinavian journal of primary health care, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Home-based diabetes symptom self-management education for Mexican Americans with type 2 diabetes.Health education research · 2015Trial
- Is "Perfect" the Enemy of the "Good?": Insights from the Lifestyle Behaviors and Health Status of Americans with Type 2 Diabetes.Journal of prevention (2022) · 2026Observational
- Can self-rated health be useful to primary care physicians as a diagnostic indicator of metabolic dysregulations amongst patients with type 2 diabetes? A population-based study.BMC primary care · 2025Article
- Exploring factors associated with self-rated health in individuals with diabetes and its impact on quality of life: Evidence from the Survey of Health, Ageing, and Retirement in Europe.Journal of diabetes · 2024Article
- Poor self-rated health is associated with faster cognitive decline and greater small vessel disease in older adults with type 2 diabetes.Diabetes/metabolism research and reviews · 2024Article
- The need for a change in medical research thinking. Eco-systemic research frames are better suited to explore patterned disease behaviors.Frontiers in medicine · 2024Article
- Prevalence and burden of diabetes mellitus-related symptoms in patients with type 2 diabetes mellitus: A cross-sectional study.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2023Article
- The Effect of Diabetes Mellitus on the Neurological Function of Patients with Cervical Spondylotic Myelopathy.Orthopaedic surgery · 2022Article
- Self-rated health and multimorbidity in patients with type 2 diabetes.Journal of health psychology · 2022Article
- Strengthening Primary Healthcare in Kosovo Requires Tailoring Primary, Secondary and Tertiary Prevention Interventions and Consideration of Mental Health.Frontiers in public health · 2022Article
- Correlates of self-rated health in people with diabetic peripheral neuropathy: a longitudinal study.Diabetic medicine : a journal of the British Diabetic Association · 2021Article
- Glycemic control and self-rated health among ethnically diverse adolescents with type 1 diabetes.Pediatric diabetes · 2020Article
- Web-Based Benefit-Finding Writing for Adults with Type 1 or Type 2 Diabetes: Preliminary Randomized Controlled Trial.JMIR diabetes · 2019Article
- Exploring how patients understand and assess their diabetes control.BMC endocrine disorders · 2018Article
- Self-Rated Health and Glycemic Control in Type 2 Diabetes: Race by Gender Differences.Journal of racial and ethnic health disparities · 2018Article
- Diabetes, Prenatal Depression, and Self-Rated Health in Latina Mothers.Diabetes spectrum : a publication of the American Diabetes Association · 2018Article
- Writing for Health: Rationale and Protocol for a Randomized Controlled Trial of Internet-Based Benefit-Finding Writing for Adults With Type 1 or Type 2 Diabetes.JMIR research protocols · 2017Article
- GPs asking patients to self-rate their health: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Article
- Change in self-rated general health is associated with perceived illness burden: a 1-year follow up of patients newly diagnosed with type 2 diabetes.BMC public health · 2015Article
- Prevalence of poor self-rated health and associated risk factors among older adults in Cali, Colombia.Colombia medica (Cali, Colombia) · 2013Article
Corrections and comments
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Authors and funding
4 authors.
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Abstract
objectiveImproving glycaemic control is generally supposed to reduce symptoms experienced by type 2 diabetic patients, but the relationships between glycated haemoglobin (HbA(1c)), diabetes-related symptoms, and self-rated health (SRH) are unclarified. This study explored the relationships between these aspects of diabetes control.
designA cross-sectional study one year after diagnosis of type 2 diabetes. SUBJECTS: A population-based sample of 606 type 2 diabetic patients, median age 65.6 years at diagnosis, regularly reviewed in primary care.
main outcome measuresThe relationships between HbA(1c), diabetes-related symptoms, and SRH.
resultsThe patients' median HbA(1c) was 7.8 (reference interval: 5.4-7.4 % at the time of the study). 270 (45.2%) reported diabetes-related symptoms within the past 14 days. SRH was associated with symptom score (γ = 0.30, p < 0.001) and HbA(1c) (γ = 0.17, p = 0.038) after correction for covariates. The relation between HbA(1c) and symptom score was explained by SRH together with other confounders, e.g. hypertension (γ = 0.02, p = 0.40). The relation between the symptom fatigue and SRH was not explained by symptom score and significantly modified the direct association between symptom score and SRH.
conclusionsSymptom relief may not occur even when HbA(1c) level is at its lowest average level in the natural history of diabetes, and symptoms and SRH are closely linked. Monitoring symptoms in the clinical encounter to extend information on disease severity, as measured e.g. by HbA(1c), may help general practitioners and patients to understand the possible impact of treatments and of disease manifestations in order to obtain optimum disease control.
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