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Self monitoring of B-Glucose in Type 2 diabetes does not improve the HbA1c level nor the reassurance what to do if unsatisfactory value
Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Närsjukvården i västra Östergötland, Forsknings- och utvecklingsenheten för Närsjukvården i Östergötland.
Linköpings universitet, Institutionen för medicin och hälsa, Allmänmedicin. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Närsjukvården i västra Östergötland.
Östergötlands Läns Landsting, Närsjukvården i västra Östergötland, Forsknings- och utvecklingsenheten för Närsjukvården i Östergötland.
2010 (Engelska)Konferensbidrag, Publicerat paper (Övrigt vetenskapligt)
Abstract [en]

Background: The cost of test strips for self monitoring of B-glucose (SMBG) has increased dramatically. However, the efficacy of SMBG for patients with type 2 diabetes has been questioned.

Aim: The aim of this work was to study the association between glycaemic control and SMBG in patients with type 2 diabetes and their opinions and habits of SMBG.

Method: A study was conducted at 18 primary health care centres (PHCC) where all patients with diabetes type 2 were surveyed (n= 6495). Age, gender, treatment category, and HbA1c were registered. Patients were categorised as users of SMBG if test strips had been prescribed within the last year. Users of SMBG (n=533) were telephone interviewed about the last time SMBG was used, the number of test-strips used the last week, the reason and value for SMBG, and strategy if unsatisfactory value.

Results: The treatment categories; diet only (32%), oral agents (37%) and insulin (31%), were  similarly distributed at all PHCCs. Mean HbA1c (6.0%) was different in patients with oral agents at the PHCC with the highest frequency of SMBG users compared to the PHCC with the middle (6.8%, p<0.001) and to PHCC with the lowest (6.4%, p= 0.03) number of users. At one PHCC, users of SMBG with insulin treatment had higher HbA1c than non-users (7.0% vs 6.1%, p= 0.03). At two PHCCs, SMBG users with diet only, had higher HbA1c than non-users (5.5% vs 5.2% p=0.04, 6.8% vs 6.9% p=0.01). At one PHC non-users had higher HbA1c (6.4% vs 6.0%). The patients used 0-42 test-strips during the week prior to the interview. Reassurance was the main reason for using SMBG, and on a scale of 1 to10 the mean value was 7.5. Over 75% of the patients stated that self-modification of treatment was important but one third did not know what to do if the test-strip showed unsatisfactory value.

Conclusions: The results showed that the use of SMBG was inconsistently associated with glycaemic control. This study lends support for clear guidelines and optimal use of test-strips with focus on the patient as a person with individual needs.

* Ewa.Grodzinsky@lio.se

Ort, förlag, år, upplaga, sidor
2010.
Nationell ämneskategori
Medicin och hälsovetenskap
Identifikatorer
URN: urn:nbn:se:liu:diva-57650OAI: oai:DiVA.org:liu-57650DiVA, id: diva2:327105
Tillgänglig från: 2010-06-28 Skapad: 2010-06-28 Senast uppdaterad: 2010-07-08

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Grodzinsky, EwaÖstgren, Carl JohanSchöld, Anna-Karin

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HälsouniversitetetForsknings- och utvecklingsenheten för Närsjukvården i ÖstergötlandAllmänmedicinNärsjukvården i västra Östergötland
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