Highlights
- •This study investigated the impact of providing self-monitoring of blood glucose (SMBG) supplies on self-care among patients with uncontrolled T2DM.
- •The provision of SMBG supplies was effective in increasing both SMBG performance and the frequency at which it was performed.
- •The improvement in SMBG was directly associated with the improvement in overall self-care.
- •The elimination of cost barriers through free provision of SMBG supplies may have been a major reason for the improvement in SMBG and subsequently self-care practice.
Abstract
Aims
Self-monitoring of blood glucose (SMBG) is an important self-care activity for patients
with Type 2 diabetes mellitus (T2DM) to achieve glycaemic control. The aim of this
study was to evaluate the impact of providing SMBG supplies on self-care among patients
with uncontrolled T2DM.
Methods
This was a six-month, prospective study conducted in two primary care institutions.
Patients ≥21 years old with uncontrolled T2DM (HbA1c > 7.0%) and polypharmacy (≥5
chronic medications) were included. All participants were given a free blood glucometer,
test strips, and lancets, and were invited to consult pharmacists to learn about SMBG.
The Summary of Diabetes Self-Care Activities questionnaire was administered at baseline
and at six months.
Results
A total of 167 patients were recruited and 150 (89.8%) completed the study. At six
months, significant improvements from baseline were observed for overall self-care
(+0.58, p = 0.008), glycemic control (−0.41%, p < 0.001) and all specific self-care
activities. The mean change in the SMBG score in all the participants was found to
have a strong positive correlation with the mean change in the overall self-care score
(rs = 0.580, p = 0.01).
Conclusions
Provision of SMBG supplies was effective in improving self-care among patients with
uncontrolled T2DM, including non-insulin-treated patients.
Keywords
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References
- AADE7 self-care behaviors.Diab Educ. 2008; 3: 445-449
- AADE7TM self-care Behaviors: systematic reviews.Diab Educ. 2007; 6: 866-871
- Ministry of Health Clinical Practice guidelines: diabetes mellitus.Singapore Med J. 2014; 6: 334-347
- Role of self-care in management of diabetes mellitus.J Diab Metab Disord. 2013; 1: 14
- Perceptions of diabetes self-care management among older singaporeans with type 2 diabetes: a qualitative study.J Nurs Res. 2018; 4: 242-249
- Barriers to diabetic self-care: a qualitative study of patients' and healthcare providers' perspectives.J Clin Nurs. 2019; 11–12: 2296-2308
- Practical approaches for self-monitoring of blood glucose: an Asia-Pacific perspective.Curr Med Res Opin. 2015; 3: 461-476
- Self glucose monitoring and physical exercise in diabetes.Diab Metab Res Rev. 2009; : S11-S17
- Standards of medical care in diabetes–2014.Diab Care. 2014; : S14-S80
- “Symptom-based insulin adjustment for glucose normalization” (SIGN) algorithm: a pilot study.Diab Technol Ther. 2012; 12: 1145-1148
- An, educational program for insulin self-adjustment associated with structured self-monitoring of blood glucose significantly improves glycemic control in patients with type 2 diabetes mellitus after 12 weeks: a randomized, controlled pilot study.Diab Metab Syndr. 2015; : 2
- Interplay among patient empowerment and clinical and person-centered outcomes in type 2 diabetes. The BENCH-D study.Patient Educ Couns. 2015; 9: 1142-1149
- Multifaceted determinants for achieving glycemic control: the International Diabetes Management Practice Study (IDMPS).Diab Care. 2009; 2: 227-233
- Self-monitoring of blood glucose (SMBG) improves glycaemic control in oral hypoglycaemic agent (OHA)-treated type 2 diabetes (SMBG-OHA study).Diab Metab Res Rev. 2013; 1: 77-84
- Is self-monitoring of blood glucose effective in improving glycaemic control in type 2 diabetes without insulin treatment: a meta-analysis of randomised controlled trials.BMJ Open. 2016; 9: e010524
- How much do diabetic patients know about diabetes mellitus and its complications?.Ann Acad Med Singapore. 2004; 4: 503-509
- Prevalence and predictors of home use of glucometers in diabetic patients.Cureus. 2017; 6: e1330
- Usage of glucometer is associated with improved glycaemic control in type 2 diabetes mellitus patients in Malaysian public primary care clinics: an open-label, randomised controlled trial.Singapore Med J. 2013; 7: 391-395
- Perspectives of patients with type 1 or insulin-treated type 2 diabetes on self-monitoring of blood glucose: a qualitative study.BMC Public Health. 2012; : 167
- Blood glucose monitoring and its determinants in diabetic patients: a cross-sectional study in Shandong, China.Diab Ther. 2018; 5: 2055-2066
- Barriers and facilitators to self-monitoring of blood glucose in people with type 2 diabetes using insulin: a qualitative study.Patient Pref Adhe. 2014; : 237-246
- Self-monitoring of blood glucose in diabetes: from evidence to clinical reality in Central and Eastern Europe–recommendations from the international Central-Eastern European expert group.Diab Technol Ther. 2014; 7: 460-475
- Factors associated with greater benefit of a national reimbursement policy for blood glucose test strips in adult patients with type 1 diabetes: a prospective cohort study.J Diab Investig. 2018; 9: 549-557
- Impact of pharmaceutical care interventions on glycemic control and other health-related clinical outcomes in patients with type 2 diabetes: randomized controlled trial.Diab Metab Syndr. 2015; 4: 271-276
- Evaluation of 12 blood glucose monitoring systems for self-testing: system accuracy and measurement reproducibility.Diab Technol Ther. 2014; 2: 113-122
- Measuring self-care in persons with type 2 diabetes: a systematic review.Eval Health Prof. 2016; 2: 131-184
- Reliability and validity of the revised summary of diabetes self-care activities (SDSCA) for Malaysian children and adolescents.Malays Fam Phys. 2012; 2–3: 10-20
- Psychometric properties of the modified personal diabetes questionnaire among Chinese patients with type 2 diabetes.Eval Health Prof. 2018; 1: 3-24
- The summary of diabetes self-care activities measure: results from 7 studies and a revised scale.Diab Care. 2000; 7: 943-950
- How to promote fruits, vegetables, and berries intake among patients with type 2 diabetes in primary care? A self-determination theory perspective.Health Psychol Open. 2019; 1 (2055102919854977)
- Health behaviours as explanations for educational level differences in cardiovascular and all-cause mortality: a follow-up of 60 000 men and women over 23 years.Eur J Public Health. 2008; 1: 38-43
- Relationship between social determinants of health and processes and outcomes in adults with type 2 diabetes: validation of a conceptual framework.BMC Endocr Disord. 2014; : 82
- Decreased leptin is associated with alterations in thyroid-stimulating hormone levels after Roux-en-Y gastric bypass surgery in obese euthyroid patients with type 2 diabetes.Obes Facts. 2019; 3: 272-280
- The circulating CTRP13 in type 2 diabetes and non-alcoholic fatty liver patients.PLoS ONE. 2016; 12: e0168082
- Relationship between insulin resistance and subclinical atherosclerosis in individuals with and without type 2 diabetes mellitus.J Diab Metab Disord. 2015; : 41
- Physicians' views of self-monitoring of blood glucose in patients with type 2 diabetes not on insulin.Ann Fam Med. 2018; 4: 349-352
- Glucose self-monitoring in non-insulin-treated patients with type 2 diabetes in primary care settings: a randomized trial.JAMA Intern Med. 2017; 7: 920-929
- Evaluation of a simple policy for pre- and post-prandial blood glucose self-monitoring in people with type 2 diabetes not on insulin.Diab Res Clin Pract. 2010; 2: 246-251
- Perspectives of patients with non-insulin-treated type 2 diabetes on self-monitoring of blood glucose: a qualitative study.J Clin Nurs. 2018; 7–8: 1673-1683
- Successful self-management among non-insulin-treated adults with Type 2 diabetes: a self-regulation perspective.Diab Med. 2015; 11: 1504-1512
- Self-management education for adults with type 2 diabetes: a meta-analysis of the effect on glycemic control.Diab Care. 2002; 7: 1159-1171
- Systematic review of community pharmacy-based and pharmacist-led foot care interventions for adults with type 2 diabetes.Can Pharm J (Ott). 2019; 2: 109-116
- Efficacy of self monitoring of blood glucose in patients with newly diagnosed type 2 diabetes (ESMON study): randomised controlled trial.BMJ. 2008; 7654: 1174-1177
- Barriers to blood glucose monitoring in a multiethnic community.Diab Care. 2002; 10: 1772-1777
Article info
Publication history
Published online: October 08, 2019
Accepted:
September 30,
2019
Received in revised form:
September 23,
2019
Received:
July 4,
2019
Identification
Copyright
© 2019 Elsevier B.V. All rights reserved.
