Type2 Diabetes Clinical Trial
Official title:
Risk Assessment and HaemoglobinA1c (HbA1c) -Measurement in Community Pharmacies to Identify People With Undiagnosed Type 2 Diabetes
Background: Due to lack of clear symptoms, type 2 diabetes can remain undetected for many
years. Our aim was to explore the capacity of Norwegian community pharmacies to identify
people at high risk of developing type 2 diabetes and the impact of the risk assessment
service on self-rated health.
Methods: Nineteen community pharmacies were randomly allocated to a diabetes risk test only-
group or Haemoglobin A1c (HbA1c) -group were the participants with a high risk of developing
type 2 diabetes also received a HbA1c-measurement. Two pharmacists at each pharmacy were
trained to perform risk assessments and counselling. The pharmacists at the 11 HbA1c
pharmacies were also trained in how to perform the HbA1c- measurement. During six months,
pharmacy customers equal or over 45 years old, wishing to participate contacted the pharmacy
staff. Participants completed a validated diabetes risk test and a background questionnaire
including a validated instrument for self-rated health. In the risk test only-group,
participants with a high risk of developing type 2 diabetes were referred to their general
practitioner for follow-up, while in the HbA1c-group, participants with HbA1c ≥ 48 mmol/ mol
(6.5%) were referred to their general practitioner.
Background: Due to lack of clear symptoms, type 2 diabetes can remain undetected for many
years. Our aim was to explore the capacity of Norwegian community pharmacies to identify
people at high risk of developing type 2 diabetes and the impact of the risk assessment
service on self-rated health.
Methods: Nineteen community pharmacies were randomly allocated to a diabetes risk test only-
group or Haemoglobin A1c (HbA1c) -group were the participants with a high risk of developing
type 2 diabetes also received a HbA1c-measurement. Two pharmacists at each pharmacy were
trained to perform risk assessments and counselling. The pharmacists at the 11 HbA1c
pharmacies were also trained in how to perform the HbA1c- measurement. During six months,
pharmacy customers equal or above 45 years old, wishing to participate contacted the pharmacy
staff. Participants completed a validated diabetes risk test and a background questionnaire
including a validated instrument for self-rated health. In the risk test only-group,
participants with a high risk of developing type 2 diabetes were referred to their general
practitioner for follow-up, while in the HbA1c-group, participants with HbA1c ≥ 48 mmol/ mol
(6.5%) were referred to their general practitioner.
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