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June 2020 -
Volume 18, Issue 6

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From the Editor

Editorial
A. Abyad (Chief Editor)
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Original Contribution

Lean processes mapping of diabetic patient flow in primary healthcare centres in Kuwait highlights opportunities for fewer patient visits
[Abstract]
[pdf]
Hisham Kelendar, Muhammad Faisal, Mohammed A Mohammed
DOI: 10.5742MEWFM.2020.93814

The Survey of primary care physicians about their comprehension of HBA1C , and their understanding of the common medical conditions that can affect the accuracy of HBA1C
[Abstract]
[pdf]
Husam Al Saudi , Fazila Khattak
DOI: 10.5742MEWFM.2020.93815

Prevalence of Type 2 Diabetes in a Rural Population of AbuNakhla, Doha, Qatar
[Abstract]
[pdf]
Mir Saad Hussain , Nusrat Nizamani
DOI: 10.5742MEWFM.2020.93816

Get Acquainted with the Secret "Its Duration And Not The Type Of Contact That Matters In COVID-19"
[Abstract]
[pdf]
Hamzullah Khan, Mian Mohammad Naveed, Ghazan Khan, Mohammad Zahid Khan, Abu Zar, Fazli Bari
DOI: 10.5742MEWFM.2020.93817

The most desired values of high density lipoproteins in the metabolic syndrome
[Abstract]
[pdf]
Mehmet Rami Helvaci, Abdulrazak Abyad, Lesley Pocock
DOI: 10.5742MEWFM.2020.93818

Population and Community Studies

Effects of Touch and Massage Care in Advanced Alzheimer Patient: A Pilot Case Report
[Abstract]
[pdf]
Emi Miki
DOI: 10.5742MEWFM.2020.93819

Do tourists suffer from depression and anxiety disorders?
[Abstract]
[pdf]
Yahia Mater AlKhaldi
DOI: 10.5742MEWFM.2020.93820

Identifying depression symptoms among general population living in conflict zone In Jammu And Kashmir
[Abstract]
[pdf]
Anood Tariq Wani, Tafazzul Hyder Zaidi
DOI: 10.5742MEWFM.2020.93821

Knowledge, Attitude and Practice of Stethoscope Disinfection Among Health Care Providers in Karachi
[Abstract]
[pdf]
Kanwal Jamal, Muhammad Waqaruddin Sheroze, Syed Tafazzul Hyder Zaidi, Rabisa Batool,
DOI: 10.5742MEWFM.2020.93822

Reviews

World Perspective of Divorce in Selected Countries: A Sociological Appraisal
[Abstract]
[pdf]
Mohammad Taghi Sheykhi
DOI: 10.5742MEWFM.2020.93823

Parkinson's Disease: An update on Pathophysiology, Epidemiology, Diagnosis and Management. Part 2 : Etiology and Pathophysiology
[Abstract]
[pdf]
Abdulrazak Abyad
DOI: 10.5742MEWFM.2020.93824

Case Study

Anti-TNF-a drug-induced lupus: A Case Report
[Abstract]
[pdf]
Abdulaziz Saad Alshahrani
DOI: 10.5742MEWFM.2020.93825


Middle East Quality Improvement Program
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Chief Editor -
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AUSTRALIA
Email: lesleypocock@mediworld.com.au
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June 2020 - Volume 18, Issue 6

Survey of primary care physicians about their comprehension of HBA1C, and their understanding of the common medical conditions that can affect the accuracy of HBA1C

Husam Al Saudi (1)
Fazila Khattak (2)

(1) Specialist Internal Medicine, AbuNakhla Health Center, Primary Health Care Corporation,
Doha, Qatar
(2) Consultant Family Medicine, AbuNakhla Health Center, Primary Health Care Corporation,
Doha, Qatar

Corresponding author:
Dr. Fazila Khattak (MBBS, MRCGP)
Tel: (+974) 3012 8694
Email: fazilaakbar@yahoo.com

Received: April 2020; Accepted: May 2020; Published: June 1, 2020. Citation: Husam Al Saudi, Fazila Khattak. Survey of primary care physicians about their comprehension of HBA1C, and their understanding of the common medical conditions that can affect the accuracy of HBA1C. World Family Medicine. 2020; 18(6): 12-19 DOI: 10.5742MEWFM.2020.93815

Abstract

Haemoglobin is a red blood cell protein, and the free glucose in blood tends to bind to this protein. This process is known as “glycosylation”; the result of this binding is HBA1C, or glycated haemoglobin. HBA1C measures the amount of sugar bound to haemoglobin (1).

As the life span of a red blood cell is 2-3 months HBA1C is checked every 3 months for monitoring of diabetes(2).

Hba1c does not only give us a decisive and dependable measurement of chronic hyperglycaemia but is also a good indicator of long term complications in type 2 diabetes mellitus (3).

This would seem simple and straightforward, but in reality health care professionals need to be very vigilant and critical when interpreting values of HBA1C as HBA1C is affected by many other medical conditions and medications, and most of these medical conditions co-exist with Diabetes mellitus or develop as a result of diabetes itself.

In this research we did a cross sectional study among family physicians working in the Primary Health Care Corporation, Doha, Qatar to see the awareness and understanding of the different medical conditions that can affect the accuracy of HBA1C levels and to see if the physicians are aware of any alternative bio marker other than HBA1C,that is reliable in conditions in which HBA1C cannot be accurately used.

Key words: primary care physicians, HBA1C, Qatar

 







 


 
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