Effects of Flash Glucose Monitoring on Dietary Variety, Physical Activity, and Self-Care Behaviors in Patients with Diabetes

Abstract

The aim of this study was to evaluate the effects of flash glucose monitoring on dietary variety, physical activity, and self-care behavior in patients with diabetes. This study included outpatients with diabetes using insulin who presented at the Department of Diabetes and Metabolism of the Ise Red Cross Hospital. Before initiating flash glucose monitoring and 12 weeks after its initiation, blood glucose-related parameters were assessed and self-administered questionnaires were completed (Dietary Variety Score (DVS), the International Physical Activity Questionnaire (IPAQ), the Summary of Diabetes Self-Care Activities Measure (SDSCA), and the Diabetes Treatment Satisfaction Questionnaire (DTSQ)) and compared between the two time points. We analyzed 42 patients with type 1 diabetes mellitus and 48 patients with type 2 diabetes mellitus. In patients with type 2 diabetes mellitus, but not type 1 diabetes mellitus, there was an increase in moderate/high category scores for IPAQ (P<0.001) and for treatment satisfaction reported via DTSQ. Furthermore, in patients with type 2 diabetes mellitus, the glycemic excursion index improved significantly and HbA1c decreased significantly (from 7.7 (1.2) to 7.4 (0.8), P=0.025). Results showed that standard deviation and mean amplitude of glycemic excursions significantly decreased in patients with type 1 diabetes mellitus (from 71.2 (20.4) to 66.2 (17.5), P=0.033 and from 124.6 (31.9) to 108.1 (28.4), P<0.001, respectively). Flash glucose monitoring is a useful tool to improve physical activity in patients with type 2 diabetes.

The Impact of Flash Glucose Monitoring on Markers of Glycaemic Control and Patient Satisfaction in Type 2 Diabetes

“…While these support our present findings on the positive effects of switching to flash glucose monitoring, T2D is of course a distinct entity with unique aetiologies and thus demands its own body of evidence that is apposite to Saudi Arabia. Our findings are supported by a number of observational studies, registries, and a limited number of RCTs (Randomized controlled trial) conducted elsewhere [2][3][4][5][6][7][8].…”

Investigating the Factors Affecting the Self-care Behaviors Status of Patients With Type II Diabetes and the Role of Demographic Variables: a Case Study in Iran

“…More than 425 million people continued living with diabetes in 2017, and people with diabetes are predicted to extend to 693 million by 2045 [20,21]. It is calculated that there will be 300 million diabetes people by 2025 [11], and by 2030, around 366 million people will have type II diabetes mellitus [9]. The prevalence of diabetes in Iran is 3.0, 5.8, 10.8, 14.0% in men and 3.0, 7.0, 14.0, and 19.4% in women aged 25-34, 35-44, 45-54, and 55-64 years, respectively [16].…”

“…It is essential for those who have Type II diabetes to manage self-care behaviors to optimize their treatment outcomes [8]. Some studies investigated the relationship between health literacy and self-care behaviors [9][10][11] and reported discrepant results. Reisi et al concluded that self-care behaviors were signi cantly associated with health literacy.…”

Investigating the Factors affecting the Self-care Behaviors Status of Patients with Type II diabetes and the Role of Demographic Variables: A Case Study in Iran

“…More than 425 million people continued living with diabetes in 2017, and people with diabetes are predicted to extend to 693 million by 2045 [20,21]. It is calculated that there will be 300 million diabetes people by 2025 [11], and by 2030, around 366 million people will have type II diabetes mellitus [9]. The prevalence of diabetes in Iran is 3.0, 5.8, 10.8, 14.0% in men and 3.0, 7.0, 14.0, and 19.4% in women aged 25-34, 35-44, 45-54, and 55-64 years, respectively[16].…”

“…It is essential for those who have Type II diabetes to manage self-care behaviors to optimize their treatment outcomes [8]. Some studies investigated the relationship between health literacy and self-care behaviors [9][10][11] and reported discrepant results. Reisi et al concluded that self-care behaviors were signi cantly associated with health literacy.…”