Association of Self-Monitoring of Blood Glucose with Glycaemic Control among Patients with Type 2 Diabetes Mellitus in a Tertiary Hospital in Nigeria
DOI:
https://doi.org/10.60787/tnhj.v24i3.846Keywords:
diabetes mellitus, glycated hemoglobin, glycaemic control, Self-monitoring of Blood GlucoseAbstract
Background: The effects of Self-Monitoring of Blood Glucose (SMBG) on glycaemic control in patients with type 2 diabetics using oral hypoglycaemic agents are conflicting and inconclusive. This study examined the association between SMBG and glycaemic control among adult patients with type 2 diabetes.
Method: Hospital-based cross-sectional analytical study for 6 months at Bowen University Teaching Hospital (BUTH), Ogbomoso, Nigeria using a systematic random Sampling technique. A structured questionnaire was administered to collect demographic data, average monthly income, DM history, and SMBG practice information from the participants. Data was analysed using the statistical package for social sciences (SPSS) version 22 by IBM Corporation, Armonk, New York. SMBG was determined based on participants' responses to the self-administered questionnaire. Chi-square was used to determine the association between SMBG practice and the glycaemic control since both variables were categorical.
Result: Out of the 310 participants who received the questionnaires, 301 completed them and had the results of their glycosylated hemoglobin test, resulting in a 97% response rate. Less than half of the study participants (48.2%) practiced SMBG. Patients with tertiary education (65.1%) compared to no formal education (33.3%), primary (42.9%), and secondary (51.6%) - were more likely to perform SMBG (P = 0.000). SMBG had no statistically significant association with the level of glycaemic control.
Conclusion: Finding shows that SMB practice had no statistically significant association with the level of glycaemic control among adult DM patients. Conduct of randomised controlled study comparing the effects of structured and unstructured SMBG regimens is recommended
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