Most Malaysians with Diabetes Regularly Monitor Glucose, But Awareness of HbA1c Levels Remains Low

KUALA LUMPUR, Feb 24 — A recent survey by Abbott revealed that even as nine out of 10 Malaysians living with diabetes regularly check their glucose levels, nearly 40 per cent do not recall their HbA1c levels. HbA1c represents the average blood glucose level over three months and is a crucial indicator of long-term diabetes control.

The findings also indicate that self-testing boosts confidence in diabetes management, regardless of HbA1c levels. Notably, 77 per cent of regular testers who are unsure about their glucose levels still believe they are managing their diabetes effectively.

Traditional Monitoring vs. Continuous Glucose Monitoring

Despite widespread recognition of the importance of self-monitoring, many Malaysians still rely on traditional finger-prick checks. These provide a single reading at a specific moment, lacking the context of glucose level trends over time, potentially leading to a false sense of control.

Continuous glucose monitoring (CGM) technology offers a more comprehensive approach by tracking glucose changes throughout the day. This provides a complete picture of glucose patterns, enabling more personalized care. Sven Seyffert, divisional vice president of Abbott’s diabetes care business for Asia Pacific, explained, “Glucose levels fluctuate throughout the day and are influenced by many factors unique to each individual. Using a CGM device can provide a comprehensive, real-time view of glucose trends, which is especially valuable for those who experience frequent fluctuating glucose levels.”

Abbott’s FreeStyle Libre sensor, for example, delivers continuous glucose readings every minute for up to 15 days, empowering both users and healthcare professionals to make informed decisions regarding food and activity, ultimately improving diabetes control and outcomes. Learn more about FreeStyle Libre.

Key Findings from the Abbott Survey

The Abbott survey aimed to understand Malaysians’ awareness of the impact of various factors on their health, particularly as only about 35 per cent achieve the Ministry of Health’s (MOH) target of HbA1c ≤6.5.

Key findings include:

• Food Awareness: Malaysians living with diabetes demonstrate high awareness of the impact of food choices on their glucose levels (85%), with regular monitoring also recognized as vital (61%).
• Carb Reduction: 50 per cent of respondents reduced carbohydrate intake as their primary food management strategy after diagnosis.
• Social Media Reliance: Almost 90 per cent of respondents turn to social media for diet management advice.
• Festive Challenges: Managing glucose levels is perceived as more challenging during festive seasons, with 78 per cent finding it easier during non-festive times compared to 39 per cent during festive times (particularly for those using insulin injections).
• Medication Adherence: Seven in 10 respondents report taking their diabetes medications exactly as prescribed.
• Exercise Levels: Only one in five respondents exercise very regularly (five to seven days a week) and those who do tend to have better glucose levels. Almost 80 per cent exercise less than 150 minutes per week, aligning with National Health and Morbidity Survey 2023 data indicating that one in two Malaysian adults lead sedentary lifestyles.
• Information Sources: 76 per cent of respondents rely on healthcare providers (doctors, dieticians, nurses) for credible information on diabetes management, with dieticians being the most trusted after doctors.
• Social Support: Almost 80 per cent of respondents feel accepted and supported by others, and this group is less likely to blame their lifestyles for their condition.

The Importance of a Holistic Approach

Dr Chan Siew Pheng, emeritus professor of endocrine medicine at University of Malaya, emphasized the importance of understanding the impact of food on glucose levels. “Food is perhaps the most vital element in glucose variability, so understanding how it impacts glucose is equally important. Pairing this awareness with tools like continuous glucose monitoring can help individuals better understand how their bodies respond to different foods, empowering them to make better informed choices and optimise other areas of their life that impact glucose levels, like daily activity, medications and handling emotions like stress.”

Diet, physical activity, medication, and monitoring are all cornerstones of effective diabetes management. Abbott’s Glucerna® #StartsWithYou campaign aims to empower Malaysians to take control of their condition and live well, highlighting success stories of individuals who have adopted positive lifestyle changes. Read more about the #StartsWithYou campaign.