Based on the summary of research findings identified from the Evidence-Based Project-Paper on
Diabetes that describes a new diagnostic tool or intervention for the treatment of diabetes in adults or
children, complete the following components of this assignment:
Develop a PowerPoint presentation (a title slide, 6-12 slides, and a reference slide; no larger than 2 MB)
that includes the following:
A brief summary of the research conducted in the Evidence-Based Project – Paper on Diabetes.
A descriptive and reflective discussion of how the new tool or intervention may be integrated into practice
that is supported by sound research.
Rubric grading
1, Summary of Article (Includes Discussion of Research Performed and Clinical Findings)- Content is
comprehensive and presents ideas and information beyond those presented through the course.
Research is thorough, current, and relevant, and addresses all of the issues stated in assignment criteria.
2, Proposed Integration of the New Tool or Intervention Into Practice, and Explanation of the Impact of the
New Tool or Intervention on nursing practice.- Statement is thorough, descriptive, reflective, and
supported with practical and sound research. Shows careful planning and attention to how disparate
elements fit together to impact the nursing profession.
3, Layout- The layout is visually pleasing and contributes to the overall message with appropriate use of
headings, subheadings, and white space. Text is appropriate in length for the target audience and to the
point. The background and colors enhance the readability of the text.
4, Language Use and Audience Awareness (includes sentence construction, word choice, etc.)- The writer
uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative
ways that are appropriate to purpose, discipline, and scope.
5, Mechanics of Writing (includes spelling, punctuation, grammar, language use) Mechanics of Writing
(includes spelling, punctuation, grammar, language use)- Writer is clearly in control of standard, written
academic English.
6, Evaluating and Documenting Sources (in-text citations for paraphrasing and direct quotes, references
page listing and formatting, as appropriate to assignment and style)- Title slide is complete. References
section includes correctly cited sources. Correct citations are included within the body of the
presentation.
The Use of the A1C
Test for Diabetes
Student’s Name
College
Summary of the Research for A1C Test
The A1C test, also known as Hemoglobin A1c (HbA1c)
or Glycated Hemoglobin
It expressed as the percentage of glycated hemoglobin
and measures the level of chronic glycemia in the blood
(Lab Test Online, 2014).
Diabetes focus on maintaining a low level of glucose
level in the blood.
Accumulation of glucose in the body damage body
systems such as kidney, eyes, heart, and nerves.
A1C test results estimate the level of quantity of glucose
that was in the blood for a period of 3 months.
Summary of the Research for A1C Test
The A1C test results estimate diabetes patients and
practitioner know the appropriate measures to control the
disease
Patient undergoing diabetes treatment uses the A1C test in
determining whether the treatment needs to be adjusted or
not.
A1C test is used often to help patients diagnosed with
diabetes the first time.
it is meant to establish the levels of their uncontrolled
sugar level in the blood for the past 2 to 3 months (Lab
Test Online, 2014)
Summary of the Research for A1C Test
Diabetes patients can order the test several times while achieving the
control
Thereafter, patients can order A1C test as many times as possible to
verify that control is being maintained.
The A1C test should not be used in:
Pregnant mothers
Those who have or recently had severe bleeding
Those with chronic liver or kidney diseases
Recent blood transfusion
only the standard A1C tests or the test that has been standardized
should be used for the purpose of screening or diagnosis
Point-of-care tests including those used by doctors in offices or
patient and those not used for diagnosis, but for monitoring
treatment.
Ordering the A1C Test
The time for ordering the A1C test depends on:
The type of diabetes that an individual is suffering from
How the disease is controlled
The doctor’s recommendation
The A1C test might be administered 2 to 4 times each year
The practitioner might order the A1C test for two reasons:
As part of health check up
When the practitioner suspects the patient suffers from
diabetes because of signs link to the disease.
Implications of A1C Test Results
A1C values are reported as a percentage of glycated hemoglobin in
the blood and measures the level of chronic glycemia
Diabetes patients should keep their A1C below 7%.
Type 2 diabetes patients might select their A1C goal by the
assistance physician
The goal of A1C test depends on a number of factors: –
The duration of diagnosis
Whether patients are suffering from other diseases alongside
diabetes
Complications that might result from low levels of glucose in the
blood
Whether the patient has health care resources for support
Implications of A1C Test Results
Patients wit long history of diabetes require higher A1C
target of between 7.5% and 8%.
Healthy persons diagnosed for the first time require lower
target, between 6% and 6.5%.
Expression of A1C Test Results
The A1C results are expressed in International Standard
unit (SI) (mmol/mol).
A1C results can also be expressed as estimated average
glucose (eAG)
The eAG results are calculated based on the levels of
A1C
The formula that is used to convert A1C results into eAG
is; 28.7 X A1C (%) – 46.7 = eAG (milligrams/deciliter,
mg/dl).
Importance of A1C Test Results
Expressing A1C as eAG helps those suffering from
diabetes to relate A1C results to the daily glucose levels in
their blood and also to glucose tests from the laboratory
Expected A1C Test Results
After screening and diagnosis :
A non-diabetic person might have A1C results less than
5.7% (39 mmol/mol)
A person suffering from diabetes might have A1C level
of 6.5% (47 mmol/mol) or higher.
Those who are at higher risk of infection might have
A1C level of between 5.7% and 6.4% (39-46
mmol/mol).
Integration of A1C Test into Practice
Full utilization of A1C test would impact diabetes patients
positively.
Integrating A1C test into practice will involve three steps:
Knowledge Creation and Distillation
This step involves carrying out research to establish variation between the
existing intervention and the A1C test for diabetes
The findings on A1C test would be collected and packed for
recommendations (Titler, 2009)
The knowledge on A1C test will be guided by end users for easier
implementation (Titler, 2009).
Integration of A1C Test into Practice
Diffusion and Dissemination
Conduct a partnership with healthcare professionals and organizations to
promote the knowledge about the use of the A1C test for diabetes.
The partnership will offer an opportunity to for linkage for successful
knowledge and awareness creation (Titler, 2009).
Parties involved in dissemination would include: healthcare practitioners
and healthcare organizations among others
Partnership will also offer authoritative grounds/stamp for the new
intervention to be approved (Titler, 2009).
Use mass communication and target audience to disseminate the
information about the new intervention for adoption
Integration of A1C Test into Practice
End-User Adoption, Implementation, and Institutionalization
Is the last stage in A1C test for diabetes integration into practice.
Organizations, individuals, an teams are brought together to adopt
the new diabetes intervention (Titler, 2009)
Final A1C test implementation and sustainability would entail
constant review to ensures that:
There is interrelationship among the A1C test, the healthcare
organization, and individual clinicians
Communicate improvements during the pilot study to encourage
adoption (Titler, 2009).
Use the AIC test as a standard care once it is incorporated into the
healthcare system
References
Lab Tests Online. (2014). A1C.