Self-monitoring of blood glucose in overweight type 2 diabetic patients

Muchmore, Douglas B.; Springer, Jane; Miller, Michael

doi:10.1007/bf00571954

Cited by 96 publications

(103 citation statements)

References 14 publications

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“…At the end of this study, subjects who practiced more frequent meal related SMBG reduced their carbohydrate intake (p = 0.04). Similar findings have been reported in previous studies [80,81]. Furthermore, it was also explained that persistent fasting hyperglycaemia might be due to medication non-adherence and wrong timing of medication intake.…”

Section: Self-monitoring Blood Glucose Practicessupporting

confidence: 90%

Pharmacist intervention in home care program for diabetes patients

Gillani¹,

Sulaiman²,

Baig³

et al. 2012

JDM

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Majority of research reports identified moderate reduction in glycated haemoglobin with education interventions regardless of age group. Our study objective was to evaluate the pharmacist interventions in providing patient home care. A 24-week longitudinal quasi-experimental-pretest/post-test study design was used to assess the effectiveness of a diabetes education program to enhance self-care practices. A doubleblinded randomized study design was considered but was not feasible as the investigator was responsible for implementing the intervention and collecting data on outcomes. Since this was a longitudinal study a 25% attrition rate was included in the calculation of sample size. Hence the sample size for the proposed study was 106 subjects with 53 subjects in each group. All analyses were done using SPSS version 18 ® . The level of significance was set at 0.05. The Research Ethics Committee of hospital and the Malaysian Medical Research and Ethics Committee approved the study. Of the 109 subject who met the study-entry criteria, 3 subjects declined to participate due to lack of time and interest. There was no significant relationship between the demographic and clinical characteristic of participants who completed the study. No significant relationship between the intervention and control groups who completed the study in demographic, clinical and psychosocial contexts. Of the 47 subjects from the intervention group who reported adherent to their daily medication intake after the education intervention, 51 subjects (31.9%) reported taking their medication at the wrong time. The recommended times for oral anti-hyperglycemic medication (OAM) are: sulphonylureas 30 minutes before food, acarbose with food, metformin with or within 30 minutes after food. This research has shown a brief structured education program that incorporated behavior science specifically selfefficacy was effective in enhancing self-care practices (SMBG and medication adherence) and improving glycaemic control in the intervention group.

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Section: Self-monitoring Blood Glucose Practicessupporting

confidence: 90%

Pharmacist intervention in home care program for diabetes patients

Gillani¹,

Sulaiman²,

Baig³

et al. 2012

JDM

View full text Add to dashboard Cite

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“…Our systematic review 11 identified 7 randomized controlled trials, [29][30][31][32][33][34][35] enrolling a total of 2270 patients with type 2 diabetes managed with oral antidiabetes agents or lifestyle measures alone. These trials compared self-monitoring of blood glucose with no self-monitoring.…”

Section: Resultsmentioning

confidence: 99%

Cost-effectiveness of self-monitoring of blood glucose in patients with type 2 diabetes mellitus managed without insulin

Cameron¹,

Coyle²,

Ur³

et al. 2009

Canadian Medical Association Journal

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“…The benefit of SMBG may be further increased by better integrating SMBG practice into an overall program of health education (promoting patientlevel behavioral modifications in res p o n s e t o S M B G r e a d i n g s ) a n d therapeutic decision making (22)(23)(24)(25)(26). Research is needed to develop specific clinical guidelines for patients regarding optimal timing and frequency of SMBG initiation and practice maintenance and to help clinicians better integrate patient's SMBG records into the therapeutic decision-making process.…”

Section: Karter and Associatesmentioning

confidence: 99%

Longitudinal Study of New and Prevalent Use of Self-Monitoring of Blood Glucose

et al. 2006

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OBJECTIVE -We sought to assess longitudinal association between self-monitoring of blood glucose (SMBG) and glycemic control in diabetic patients from an integrated health plan (Kaiser Permanente Northern California).RESEARCH DESIGN AND METHODS -Longitudinal analyses of glycemic control among 1) 16,091 patients initiating SMBG (new-user cohort) and 2) 15,347 ongoing users of SMBG (prevalent-user cohort). SMBG frequency was based on pharmacy use (number of blood glucose test strips dispensed), and glycemic control was based on HbA 1c (A1C). In the new-user cohort, ANCOVA models (pre-and posttest design) were used to assess the effect of initiating SMBG. In the prevalent-user cohort, repeated-measure, mixed-effects models with randomintercept and time-dependent covariates were used to assess changes in SMBG and A1C. All models were stratified by therapy (no medications, oral agents only, or insulin) and adjusted for baseline A1C, sociodemographics, insulin injection frequency, comorbidity index, medication adherence, smoking status, health care use, and provider specialty.RESULTS -Greater SMBG practice frequency among new users was associated with a graded decrease in A1C (relative to nonusers) regardless of diabetes therapy (P Ͻ 0.0001). Changes in SMBG frequency among prevalent users were associated with an inverse graded change in A1C only among pharmacologically treated patients (P Ͻ 0.0001).CONCLUSIONS -These observational findings are consistent with short-term benefits of initiating SMBG practice for all patients but continuing benefits only for pharmacologically treated patients. Differences in effectiveness between new versus prevalent users of SMBG have implications for guideline development and interpretation of observational outcomes data. (2) and dissemination of the Self-Monitoring of Blood Glucose Consensus Conference (1986) have contributed to an increased attention to tight glycemic control in patients with diabetes and a concomitant promotion of self-monitoring of blood glucose (SMBG). However, SMBG is costly for patients and health insurers, and the clinical value of this practice for patients who are not treated by insulin remains controversial. Because of inconsistent evidence, current recommendations vary widely and are typically vague (3). For example, an American Diabetes Association's 2005 position statement states, "The optimal frequency and timing of SMBG for patients with type 2 diabetes on oral agent therapy is not known but should be sufficient to facilitate reaching glucose goals" (4). The high cost of test strips in an era of evidence-based medicine has created a demand for rigorous evaluation of the effectiveness of SMBG. Diabetes CareNo studies, either experimental or observational, have addressed the longterm impact of various SMBG testing frequencies on glycemic control. In this article, we present results of the first longitudinal study of the association between SMBG frequency and glycemic control in diabetic members of a prepaid, integrated health plan. Additionally, special...

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Self-monitoring of blood glucose in overweight type 2 diabetic patients

Cited by 96 publications

References 14 publications

Pharmacist intervention in home care program for diabetes patients

Pharmacist intervention in home care program for diabetes patients

Cost-effectiveness of self-monitoring of blood glucose in patients with type 2 diabetes mellitus managed without insulin

Longitudinal Study of New and Prevalent Use of Self-Monitoring of Blood Glucose

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