Point-of-care HbA1c testing with the a1cnow test kit in general practice dental clinics: A pilot study involving its accuracy and practical issues in its use

Shiela M. Strauss, Mary Rosedale, Michael A. Pesce, Caroline Juterbock, Navjot Kaur, Joe DePaola, Deborah Goetz, Mark S. Wolff, Dolores Malaspina, Ann Danoff

Research output: Contribution to journalArticlepeer-review

Abstract

With millions of at-risk people undiagnosed with prediabetes and diabetes, there is a need to identify alternate screening sites for out-of-range glucose values. We examined practical issues and accuracy (relative to high-performance liquid chromatography testing in a laboratory) in the use of the A1cNow point-of-care device for this screening in general practice dental clinics at a large University-based dental college. Health care professionals obtained evaluable readings for only 70% of the subjects, even after 2 attempts, and its use according to manufacturer?€™s instructions was often challenging in the busy environment of the dental clinic. At thresholds for prediabetes and diabetes established by the American Diabetes Association, sensitivities of the A1cNow kit relative to the HPLC method were 91.9% and 100%, respectively. However, specificities for prediabetes and diabetes were 66.7% and 82.4%, respectively, indicating many false-positive results. A better strategy for diabetes screening may involve a laboratory-based analysis approach that is patient-friendly and provider-friendly, with minimal burden to the dental team.

Original languageEnglish (US)
Pages (from-to)142-147
Number of pages6
JournalPoint of Care
Volume13
Issue number4
DOIs
StatePublished - Dec 12 2014

Keywords

  • A1c
  • Dental visit
  • Diabetes screening
  • Point of care

ASJC Scopus subject areas

  • Nursing(all)

Fingerprint Dive into the research topics of 'Point-of-care HbA1c testing with the a1cnow test kit in general practice dental clinics: A pilot study involving its accuracy and practical issues in its use'. Together they form a unique fingerprint.

Cite this