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Self-monitoring among non-insulin treated patients with type 2 diabetes mellitus: Patients' behavioural responses to readings and associations with glycaemic control
- Source :
- Diabetes research and clinical practice. 100(2)
- Publication Year :
- 2012
-
Abstract
- Aim To investigate self-monitoring of blood glucose (SMBG) behaviour among non-insulin treated patients with type 2 diabetes mellitus, and to evaluate associations with glycaemic control. Methods Eligible patients in 23 GP practices in Tayside, Scotland, were identified (18–75 years, no insulin treatment, SMBG reagent strips dispensed in 2009). Consenting patients were administered questionnaires addressing SMBG behaviour: these primary data were record-linked to clinical data (including HbA1c) from a validated population-based diabetes clinical information system, then anonymised. Results Among 629 eligible patients, 207 were interviewed and analysed. Mean SMBG reagent strips dispensed in 12 months was 268. In response to a perceived high test result, 80 (38.8%) patients took no action or simply checked later with most of them (61.3%) indicating they did not know what action to take. Of the 126 (61.2%) patients who took some action, 101 made changes to diet, 12 increased physical activity, 10 made changes to medication and 12 mad a HCP appointment. A high score on a Diabetes Knowledge Test was a statistically significant predictor of taking action (odds ratio: 2.07). However, neither taking action nor increased SMBG frequency was associated with improved glycaemic control. Conclusions Responding to SMBG test results and increased testing frequency were not associated with improved glycaemic control in the short-term. There is a lack of knowledge surrounding SMBG in non-insulin treated patients.
- Subjects :
- Blood Glucose
Male
medicine.medical_specialty
endocrine system diseases
Endocrinology, Diabetes and Metabolism
medicine.medical_treatment
Population
Type 2 diabetes
Endocrinology
Diabetes mellitus
Internal medicine
Internal Medicine
Medicine
Humans
education
Aged
Blood glucose monitoring
education.field_of_study
medicine.diagnostic_test
business.industry
Insulin
Blood Glucose Self-Monitoring
nutritional and metabolic diseases
Type 2 Diabetes Mellitus
General Medicine
Odds ratio
Middle Aged
medicine.disease
Surgery
Diabetes Mellitus, Type 2
Self-monitoring
Female
business
Subjects
Details
- ISSN :
- 18728227
- Volume :
- 100
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Diabetes research and clinical practice
- Accession number :
- edsair.doi.dedup.....d27f246fd8d96eacbc59ab51321ff982