Authors (including presenting author) :
So TTY(1), Chan STK(2), Choy WY(3), Lee KY (3), Wong RYM(3), Cheung KKT(3), Fong FCS(2)
Affiliation :
(1)Central Nursing Division, (2) Health Resource Centre, (3) Diabetes and Endocrine Centre, Prince of Wales Hospital
Introduction :
Diabetes is both a community and personal health disaster if not diagnosed, treated or managed properly. 53% of renal replacement therpay are caused by diabetes, which is a costly and suffering endpoint. Local data shown 3-10% of DM patients died or reached endpoints yearly. In fact, early approach, patient awareness and management would control the deterioration. As such, patient empowerment would not just focus on disease self-care education, but also include more in-depth aspects to promote health literacy for better outcome.
Objectives :
1. Correlate diabetes patient’s awareness and perception of own kidney’s function to real health status
2. Identify health risk behaviors being conducted on DKD group
3. Results to draw the awareness and partnership of patients and health care professionals (HCP)to address kidney status early
Methodology :
A cross-sectional survey was conducted in October of 2018 in a HA diabetes patient support group activity. The survey for diabetes participants enquires few aspects: (1) perceived own kidney status including eGFR stage; (2) health behavior: recent use of OTC drugs, habit of self-monitoring; (3) did HCP discuss kidney status on follow-up. Analysis was carried out to see any discrepancy of the perceived and real kidney’s health.
Result & Outcome :
Total 109 survey collected, 45 male, 64 female diabetes patients; mean age was 66 year-old (43-84); year of diabetes: 66% >10 years, 17% 5-10 years; 17% <5years; 95 % were type 2 diabetes; 78% follow up in SOPC, 22% in GOPC; 56% were insulin treated, of which more than 1/3 were on multiple insulin therapy (MDI). HbA1c were 7.91% (5.4-14.3% +/-1.57).
For the correlation of the self-perceived kidney eGFR stages: 51% of overall patients perceived self-kidney stages wrongly. For the stage 2 mild CKD group (eGFR60-89): up to 60% (28/47) overestimated own kidney as in normal stage. For the stage 3-5 groups (medically defines as moderated to end stage CKD if eGFR <60): up to 48% of patients overestimated own CKD stage as normal /mild deterioration. For kidney health information, overall 51% claimed that no HCP mentioned about their kidney status in the recent 2 follow-ups; neither 42% in the DKD stage 3-5 groups.
For the DKD stage 3-5 groups (eGFR <60), 38% do not have blood pressure and 14% no self-blood glucose monitoring; 24% reported they had taken OTC drugs without prescriptions in the past 3 months.
Results shown the common problem of patients being unaware and overestimated their kidney function; also discussion of the kidney status likely not a routine practice for HCP. People don’t know, don’t act; related health risk behavior might not be changed. In fact, this unheard DKD alarming clock and costly endpoints could be handled at an early stage if all stakeholders have better communication, engage and work in partnership proactively.
Co-location with:
