Self-monitoring of blood glucose—Psychological aspects relevant to changes in HbA1c in type 2 diabetic patients treated with diet or diet plus oral antidiabetic medication

Siebolds, Marcus; Gaedeke, Oliver; Schwedes, U.

doi:10.1016/j.pec.2005.06.013

Cited by 50 publications

(54 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A review of 11 randomized controlled trials concluded that self-monitoring of blood glucose can result in improved glycaemic control but raised questions about the precise strategies of successful users of self-monitoring of blood glucose [7]. The importance of feedback from clinicians and training in glucose meter use were identified as critical factors for glycaemic improvements in two recent self-monitoring of blood glucose trials with non-insulin-treated adults with Type 2 diabetes [8,9]. One study in non-insulin-treated individuals with poor control reported that adherence to self-monitoring of blood glucose was associated with lowered HbA 1c concentration [8].…”

Section: Introductionmentioning

confidence: 99%

“…Intervention participants who received a combination of structured feedback from physicians and training to properly interpret glucose meter readings showed significantly greater improvement in glycaemic control compared with an enhanced usual care comparison group [8]. In a second trial, participants, who performed self-monitoring of blood glucose six times a day on 2 days each week, kept a glucose meter/food log and received structured counselling on diabetes management, showed improved skills in using self-monitoring of blood glucose, a greater sense of self-control, an improved life outlook and significantly lower HbA 1c concentrations in comparison with a control group that received a standardized diet and lifestyle counselling [9]. In summary, when treated as a behavioural intervention, trials of self-monitoring of blood glucose have been more successful.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Successful self‐management among non‐insulin‐treated adults with Type 2 diabetes: a self‐regulation perspective

et al. 2015

View full text Add to dashboard Cite

Aims To clarify the role of self-monitoring of blood glucose in the self-management of Type 2 diabetes from the patient’s perspective, using in-depth interviews with non-insulin-treated adults to investigate how they learned to manage their diabetes effectively and whether self-monitoring of blood glucose played a significant role in this. Methods Individual interviews were conducted with 14 non-insulin-treated adults with Type 2 diabetes who had significantly improved their glycaemic control [64% women; 50% black; 21% Hispanic; mean age 60 years; mean HbA1c concentration 43 mmol/mol (6.1%)]. Interviews were transcribed and analysed by a coding team, using the concept of illness coherence from the Common Sense Model of Self-Regulation. Results The majority of participants relied on self-monitoring of blood glucose to know their self-management efforts were working. Key themes included: adopting an experimental approach; experiencing 'a-ha' moments; provider-assisted problem-solving; using self-monitoring of blood glucose and other feedback to evaluate when their efforts were working; and normalizing diabetes-specific behaviour changes as being healthy for everyone. Conclusions Our qualitative data are consistent with the argument that self-monitoring of blood glucose, if implemented appropriately with enough education and provider access, can be a powerful tool for non-insulin-treated adults with Type 2 diabetes to monitor their self-management. Establishing sufficient conditions for illness coherence to develop while individuals are learning to use self-monitoring of blood glucose could increase their sense of personal control in managing a complex and demanding illness.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Successful self‐management among non‐insulin‐treated adults with Type 2 diabetes: a self‐regulation perspective

et al. 2015

View full text Add to dashboard Cite

show abstract

“…SMBG coupled with structured brief counseling provided patients with a tool for taking on more self-control and resulted in an improved outlook on life [27]. …”

Section: Discussionmentioning

confidence: 99%

A qualitative study to explore the perception and behavior of patients towards diabetes management with physical disability

Gillani

Sulaiman

Abdul

et al. 2017

Diabetol Metab Syndr

View full text Add to dashboard Cite

BackgroundThis study aimed to determine self-monitoring practices, awareness to dietary modifications and barriers to medication adherence among physically disabled type 2 diabetes mellitus patients.MethodsInterview sessions were conducted at diabetes clinic—Penang general hospital. The invited participants represented three major ethnic groups of Malaysia (Malay, Chinese and Indians). An open-ended approach was used to elicit answers from participants. Interview questions were related to participant’s perception towards self-monitoring blood glucose practices, Awareness towards diet management, behaviour to diabetes medication and cues of action.ResultsA total of twenty-one diabetes patients between the ages 35–67 years with physical disability (P1–P21) were interviewed. The cohort of participants was dominated by males (n = 12) and also distribution pattern showed majority of participants were Malay (n = 10), followed by Chinese (n = 7) and rest Indians (n = 4). When the participants were asked in their opinion what was the preferred method of recording blood glucose tests, several participants from low socioeconomic status and either divorced or widowed denied to adapt telemonitoring instead preferred to record manually. There were mixed responses about the barriers to control diet/calories. Even patients with high economic status, middle age 35–50 and diabetes history of 5–10 years were influenced towards alternative treatments.ConclusionsStudy concluded that patients with physical disability required extensive care and effective strategies to control glucose metabolism.Practice implicationThis study explores the patients’ perspectives regarding treatment management with physical disability.

show abstract

“…Likewise, our findings demonstrate that for persons with either type of diabetes, developing an identity that one is an enactor of diabetes self-care behaviors (e.g., a ''blood sugar checker'') can facilitate blood glucose monitoring behaviors. The role of a diabetes-specific self-as-doer identity may help health-care providers and researchers further understand the nature of the relationship between self-efficacy and the frequency of blood glucose monitoring that others have demonstrated (Siebolds, Gaedeke, & Schwedes, 2006;Williams & Bond, 2002). Thus, clinical interventions that focus not only on enhancing perceived ability to exercise, perform foot care behaviors, and check one's blood glucose but also on developing an identity as an exerciser and as a frequent foot and blood glucose checker may enhance the frequency by which persons with diabetes enact these behaviors.…”

Section: Discussionmentioning

confidence: 99%

“I Am a Blood Sugar Checker”: Intervening Effects of Self-as-doer Identity on the Relationship between Self-efficacy and Diabetes Self-care Behaviors

Brouwer

Mosack

2012

Self and Identity

View full text Add to dashboard Cite

Self-monitoring of blood glucose—Psychological aspects relevant to changes in HbA1c in type 2 diabetic patients treated with diet or diet plus oral antidiabetic medication

Cited by 50 publications

References 18 publications

Successful self‐management among non‐insulin‐treated adults with Type 2 diabetes: a self‐regulation perspective

Successful self‐management among non‐insulin‐treated adults with Type 2 diabetes: a self‐regulation perspective

A qualitative study to explore the perception and behavior of patients towards diabetes management with physical disability

“I Am a Blood Sugar Checker”: Intervening Effects of Self-as-doer Identity on the Relationship between Self-efficacy and Diabetes Self-care Behaviors

Contact Info

Product

Resources

About