scholarly journals Blood glucose self-monitoring among patients with diabetes mellitus type 2 in family medicine practice

2009 ◽  
Vol 62 (7-8) ◽  
pp. 342-345
Author(s):  
Samira Herenda ◽  
Husref Tahirovic
Keyword(s):  
Type 2 Diabetes ◽  
Blood Glucose ◽  
Family Medicine ◽  
Diabetic Patients ◽  
Self Monitoring ◽  
Patients With Diabetes ◽  
Blood Glucose Self Monitoring ◽  
Passive Education ◽  
Intensive Education

Introduction. Good knowledge of diabetic patients about their disease is often not related with good glycemic control. The aim of this study was to determine the level of application of acquired knowledge about diabetes in recognizing and resolving hypoglycemic and hyperglycemic conditions in patients who did or did not do blood glucose self-monitoring as well as the impact of self-monitoring on HbA1c during education of patients with diabetes type 2. Material and methods. There were 91 patients with the type 2 diabetes who completed six months education about their disease in four family medicine practices in Tuzla Canton during the period from March to September 2005. The patients who did or did not do self-monitoring with glucometer were interviewed on knowledge about recognizing and resolving hypoglycemia and hyperglycemia by family physician and HbA1c was assessed at the beginning of the education, 3 months after reading the brochure (passive education) and additional 3 months of group (intensive) education. Results. Out of 91 interviewed patients, there were 29 who did self-monitoring by glucometer at the beginning of the education, 30 patients during the passive education and 34 after the intensive education. At the beginning of education, regardless of doing self-monitoring, the patients were less able to recognize and resolve hypoglycemia and even less hyperglycemia. At the end of education, their knowledge was better at both recognizing and resolving hypoglycemia (P=0.01) as well as at recognizing (P=0.01) and resolving hyperglycemia (P=0.001). In the patients who did self-monitoring the average value of the HbA1c did not improve significantly (P=0.44) compared to those who did not practice self-monitoring (P=0.10) during education. Conclusion. Only one third of patients with type 2 diabetes had done self-monitoring with glucometer and although their knowledge about hypoglycemia and hyperglycemia was improved during education, these patients did not have improved significant values of the HbA1c compared to patients who had not done self-monitoring.

Evaluation of a simple policy for pre- and post-prandial blood glucose self-monitoring in people with type 2 diabetes not on insulin

2010 ◽  
Vol 87 (2) ◽  
pp. 246-251 ◽  
Author(s):  
Katia Bonomo ◽  
Alessandro De Salve ◽  
Elisa Fiora ◽  
Elena Mularoni ◽  
Paola Massucco ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Blood Glucose ◽  
Self Monitoring ◽  
Blood Glucose Self Monitoring

scholarly journals Hypoglycaemia among adults with Type 2 Diabetes mellitus in a Family Medicine Clinic

2021 ◽  
Vol 7 (4) ◽  
pp. 336-346
Author(s):  
OO Sodipo ◽  
AB Ademolu ◽  
S Odunaye-Badmus ◽  
EO Oluwatuyi ◽  
R Odiana
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Blood Glucose ◽  
Family Medicine ◽  
Self Monitoring ◽  
Medicine Clinic ◽  
Clinical Records ◽  
Dipeptidylpeptidase 4

Background: The prevalence of Diabetes mellitus (DM) is increasing worldwide. The complications of DM arising from hyperglycaemia are well documented and. However, there is a lack of data, poor awareness and information on hypoglycaemia in DM. Objective: To describe the prevalence and factors associated with hypoglycaemia among patients with Type 2 Diabetes mellitus (DM). Methods: This was a retrospective study of the clinical records of patients with Type 2 DM at the Family Medicine Clinic of a Nigerian teaching hospital from January 2019 to January 2020. The sociodemographic and clinical characteristics, including hypoglycaemia, Glycosylated Haemoglobin (HbA1c), Fasting and Random blood glucose, were retrieved. Results: A total number of 570 patients were assessed, with a prevalence of 43 (7.5%) of hypoglycaemia. The mean age of the patients in the study was 58.2±10.9 years (range: 36-83 years). Metformin (557; 97.7%), Sulphonylureas (377; 66.1%), Dipeptidylpeptidase -4 inhibitors (137; 24.0%) and insulin (72; 12.6%) were the most prescribed anti-diabetic medications. hypoglycaemiaA majority (29; 67.4%) of the hypoglycaemia episodes occurred in the morning, while most (24; 55.8%) of the episodes of hypoglycaemia were mild. Mean age (t= 2.35; p = 0.019), presence of hypertension (X2 = 6.92, p = 0.008) and dyslipidaemia (X2 = 7.86, p = 0.005) were associated with hypoglycaemia. Conclusions: The prevalence of hypoglycaemia in the Outpatient clinic was low, while the presence of comorbidities                                   (hypertension and dyslipidaemia) and age were associated with hypoglycaemia. There is a need for patient education and Self-Monitoring of Blood Glucose (SMBG) to prevent complications of hypoglycaemia. hypoglycaemia

scholarly journals TYPE 2 DIABETES;

2013 ◽  
Vol 20 (02) ◽  
pp. 244-249
Author(s):  
ZULFIQAR ALI SHAIKH ◽  
SAIMA AKHUND ◽  
MUKKARAM ALI ◽  
Masood Hameed Khan
Keyword(s):  
Type 2 Diabetes ◽  
Blood Glucose ◽  
Environmental Factors ◽  
Demographic Factors ◽  
Diabetic Patients ◽  
Self Monitoring ◽  
Related Information ◽  
Diabetes Diet ◽  
Socio Demographic Factors

Objective: To determine the effects of various socio-demographic factors upon the prevalence of diabetes mellitus.Background: Type 2 Diabetes is growing at an epidemic scale. Besides genetic predisposition, numerous environmental factors elicit thedevelopment of diabetes. An estimated 246 million people are suffering from diabetes worldwide. Majority of diabetics (80%) live in verypoor countries of the world, where even the least expensive lifesaving diabetes drugs are not available. Pakistan ranks number seven interms of global diabetes burden and is projected to reach number five in 2025. Approximately half of the diabetics are aware of theirdisease status, and most of them are diagnosed with complications and poor metabolic control. This study determines the effects ofvarious socio-demographic factors upon the prevalence of diabetes mellitus. Material and Methods: Study Design: Cross-sectional.Place: National Institute of Diabetes and Endocrinology, DUHS, Karachi, Pakistan. Duration of study: March 2008 to December 2009.Sample size: 1029. Results: The mean age of the study sample was 50.5 ±12.1 years. Fifty two percent study participants were malesand 48% females. They were from various occupations, educational levels and socio-economic strata. Among these diabetics, 73% hadfamily history of diabetes; 20% were doing exercise, 20% knew self monitoring blood glucose and 6% had knowledge to inject insulin.Only 29% followed diabetes diet. Conclusions: A vast majority of diabetic patients was not doing exercise; had least knowledge of selfmonitoring blood glucose and did not follow diabetes diet. Various environmental factors, lack of related information and peoples’reluctant attitude played important role in the high prevalence of diabetes.

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