Proportion and predictors of SMBG use among type 2 diabetic subjects in three tertiary care hospitals in Dhaka City

Abstract

Aims The aim was to find out the proportion of Self-monitoring of Blood Glucose (SMBG) Users and factors affecting the nonuse in three large hospitals of Dhaka city. Methods Under an observational cross-sectional design 598 type 2 diabetic subjects were recruited (convenient sampling) from the OPDs of 3 large tertiary care hospitals [one public hospital (PUBH), one Not-for-profit Hospital (NFPPH), and one For-profit private hospital (FPPH)] in Dhaka City. Data were analyzed by both univariate and multivariate analysis as appropriate. Results Overall 71% of subjects were SMBG Nonusers (PUBH 86%, NFPPH 67%, and FPPH 46%). Monthly income status and advice showed the highest impact (OR 4.66 and 3.74 respectively) on the use. Physicians (54%), relatives (34%), and friends (8.2%) were the major sources of advice. Irregular diabetes check-up and distrust of results were also among the major reasons for not using SMBG among the Nonusers. Conclusion Nearly three-fourth of type 2 diabetic patients in Dhaka city do not use SMBG and the proportion is especially high in public hospitals. Poor income status of patients, lack of coordinated advice/motivation by Caregivers, irregularity in diabetes checking, and distrust on results are major predictors for not using SMBG by the patients.

Non-adherence to self-monitoring of blood glucose (SMBG) in poorly controlled type 1 and type 2 diabetes mellitus.

“…Amongst the non-adherent group of patients, we found various reasons responsible for nonadherence to SMBG practice. 23 This study also identified various acute and chronic complications in the diabetic cohort. Acute complications DKA and hypoglycemia occurred in 76% and 60% patients respectively.…”