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Is point of care testing for anaemia (HB) and microalbumin feasible in people with type 2 diabetes attending diabetes outpatient clinics?

Dunning, Trisha, MacGinley, Rob and Ward, Glenn 2002, Is point of care testing for anaemia (HB) and microalbumin feasible in people with type 2 diabetes attending diabetes outpatient clinics?, Renal society of Australasia journal, vol. 8, no. 2, pp. 76-81.

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Title Is point of care testing for anaemia (HB) and microalbumin feasible in people with type 2 diabetes attending diabetes outpatient clinics?
Author(s) Dunning, TrishaORCID iD for Dunning, Trisha orcid.org/0000-0002-0284-1706
MacGinley, RobORCID iD for MacGinley, Rob orcid.org/0000-0003-2329-0779
Ward, Glenn
Journal name Renal society of Australasia journal
Volume number 8
Issue number 2
Start page 76
End page 81
Total pages 6
Publisher Renal Society of Australasia
Place of publication Heidelberg, Vic.
Publication date 2002-07
ISSN 1832-3804
Keyword(s) type 2 diabetes
anaemia
microalbuminuria
point of care testing
screening
Summary Introduction: Diabetes is the major cause of chronic kidney disease (CKD) in Australia. Anaemia of CKD occurs earlier than in non-diabetics and is often insidious and undetected.

Aim:
A large, prospective, single-centre study was undertaken to determine the feasibility of point of care testing (POCT) haemoglobin (Hb) and microalbumin in people with type 2 diabetes (T2DM) attending routine outpatient clinic appointments (OPC).

Method: Clinic nurses measured Hb and microalbumin using the HemoCue Haemoglobin Capillary Analyser and the HemoCue Urine Albumin Analyser (Medipac Scientific), respectively when they tested blood glucose, weight and blood pressure. The nurses were trained to use the analysers before the study commenced. Standard demographic data, duration of diabetes, treatment mode, and presence of complications, comorbidities, and HbA1c were ascertained from patients’ medical records.

Results: Five hundred and fifty-four (80%) patients were screened. The nurses were able to perform the tests competently but testing, especially microalbumin, was time-consuming. Patients’ mean age was 62 years (11 SD): 230 females, mean blood glucose (BG) 10 (3.9 SD) mmol/L, mean haemoglobin 127.2 (16.3 SD) g/L; mean microalbumin 47.8 (58.7 SD) mg/L: 324 were males, mean BG 10.2 (3.9 SD) mmol/L, mean Hb 138.6 (18.8 SD) gm/L, and mean microalbumin 67.9 (73.9 SD) mg/L. 27% of males and 22% of females were anaemic. Of those with anaemia, 27% of females and 29% of males had microalbuminuria.

Conclusions:
POCT is feasible in routine outpatient clinics but is time-consuming. One in four T2DM attending OPC were anaemic. POCT Hb testing in OPC is feasible and could identify T2DM who need full haematological assessment.
Notes Reproduced with the kind permission of the copyright owner.
Language eng
Field of Research 110312 Nephrology and Urology
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2012, Renal Society of Australasia
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30046274

Document type: Journal Article
Collections: School of Nursing and Midwifery
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Created: Thu, 26 Jul 2012, 15:52:57 EST by Jane Moschetti

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.