Association of Self-Monitoring of Blood Glucose with Glycaemic Control among Patients with Type 2 Diabetes Mellitus in a Tertiary Hospital in Nigeria
Self-Monitoring of Blood Glucose with Glycaemic Control among Patients with Type 2 Diabetes Mellitus
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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Sun H, Saeedi P, Karuranga S, Pinkepank M, Ogurtsova K, Duncan BB, Stein C, Basit A, Chan JC, Mbanya JC, Pavkov ME. IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes research and clinical practice. 2022; 183:109119.
Khan MAB, Hashim MJ, King JK, Govender RD, Mustafa H, Kaabi J Al. Epidemiology of Type 2 diabetes - Global burden of disease and forecasted trends. J Epidemiol Glob Health. 2020;10(1):107–11.
Wild S, Goglic G, Green A et al. Global Prevalence of Diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 2004;27(5):1047–53.
Care D. Standards of Care in Diabetes—2023. Diabetes care. 2023;46:S1-267.
Evans M, Welsh Z, Ells S, Seibold A. The Impact of Flash Glucose Monitoring on Glycaemic Control as Measured by HbA1c: A Meta-analysis of Clinical Trials and Real-World Observational Studies. Diabetes Ther. 2020;11(1):83–95.
Czupryniak L, Barkai L, Bolgarska S, Bronisz A, Broz J, Cypryk K, et al. Self-monitoring of blood glucose in diabetes: From evidence to clinical reality in central and eastern Europe - Recommendations from the international central-eastern European expert group. Diabetes Technol Ther. 2014;16(7):460–75.
Ceriello A, Colagiuri S. International Diabetes Federation guideline for management of postmeal glucose: a review of recommendations. Diabetic Medicine. 2008;25(10):1151-6.
Unadike AE and BC. Factors associated with self-monitoring of glycaemic control among persons with diabetes in Benin City, Nigeria. African J Diabetes Med. 2011;19(13):13–4.
Unachukwu CN, Young EE, Uchenna DI. Self-blood glucose monitoring among diabetic patients in Port Harcourt, Nigeria. African J Diabetes Med 19. 2011;19(1):19–20.
Abdulquadir M, Elbagir M EM. The Influence of glucose self In, monitoring on glycaemic control in patients with diabetes mellitus in Sudan. Diabetes Res Clin Pr. 2006;74(1):90–4.
Pillay S, Aldous C. Effects of self-monitoring of blood glucose on diabetes control in a resource-limited diabetic clinic Effects of self-monitoring of blood glucose on diabetes control in a resource-limited diabetic clinic. J Endocrinol Metab Diabetes South Africa [Internet]. 2016;21(2):20–5. Available from: http://dx.doi.org/10.1080/16089677.2016.1198112
Charan J, Biswas T. How to calculate sample size for different study designs in medical research? Indian J Psychol Med. 2013;35(2):121–6.
Iwuala SO, Olamoyegun MA, Sabir AA FO. The relationship between self-monitoring of blood glucose and glycaemic control among patients attending an urban diabetes clinic in Nigeria. Ann Afr Med. 2015;5(14):182–7.
Adebayo AK, Iweka AC. Dwelling density variability across government-built multifamily apartments in Lagos. Ethiopian Journal of Environmental Studies and Management. 2013;6(5):517-22.
Meier JL, Swislocki AL, Lopez JR, Noth RH, Bartlebaugh P SD. Reduction in self-monitoring of blood glucose in persons with type 2 diabetes results in cost savings and no change in glycemic control.Am J Manag Care. 2002; 8:557–65.
Yacoub ES, Mansur MH RY. Effect of frequent self-monitoring of blood glucose on HbA1c among type 2 diabetic patients. Res J Med Sci. 2011; 5:145–9.
Francis KK, Younger-Coleman NO, Tulloch-Reid MK, Wright-Pascoe RA, Boyne MS, Wilks RJ et al. Relationship between self-monitoring of blood glucose and glycaemic control among patients attending a specialist diabetes clinic in Jamaica. Int J Diabetes Dev Ctries. 2014;1-7.
Davis WA, Bruce DG DT. Is self-monitoring of blood glucose appropriate for all type 2 diabetic patients? The Fremantle Diabetes Study. Diabetes Care. 2006; 29:1764-70.
Selvin E, Parrinello CM, Sacks DB, Coresh J. Trends in prevalence and control of diabetes in the United States, 1988-1994 and 1999-2010. Ann Intern Med. 2014;160(8):517–25.
Nathan DM. The diabetes control and complications trial/epidemiology of diabetes interventions and complications study at 30 years: Overview. Diabetes Care. 2014;37(1):9–16.
Oghagbon EK. Commentary: Improving persistently elevated HbA1c in diabetes mellitus patients in Nigeria. [cited 2018 Jul 23]; Available from: https://www.ethndis.org/edonline/index.php/ethndis/article/viewFile/180/137
McSharry J, Moss-Morris R, Kendrick T. Illness perceptions and glycaemic control in diabetes: A systematic review with meta-analysis. Diabet Med. 2011;28(11):1300–10.
Clarke SF, Foster JR. A history of blood glucose meters and their role in self-monitoring of diabetes mellitus.Vol. 69, British Journal of Biomedical Science. 2012:83–93.
Kempf K, Tankova T, Martin S. ROSSO-in-praxis-international: Long-Term Effects of Self-Monitoring of Blood Glucose on Glucometabolic Control in Patients with Type 2 Diabetes Mellitus Not Treated with Insulin. 2013;15(1).
Franciosi M, Lucisano G, Pellegrini F, Cantarello A, Consoli A, Cucco L, et al. ROSES: Role of self-monitoring of blood glucose and intensive education in patients with Type2 diabetes not receiving insulin. A pilot randomized clinical trial. Diabet Med. 2011;28(7):789–96.
Villelaluciamariaaversa. Does Monitoring Goal Progress Promote Goal Attainment. Psychological Bull. 2016;53(9):1689–99.
Parkin CG, Buskirk A, Hinnen DA, Axel-Schweitzer M. Results that matter: Structured vs. unstructured self-monitoring of blood glucose in type 2 diabetes. Diabetes Res ClinPract [Internet]. 2012;97(1):6–15. Available from: http://dx.doi.org/10.1016/j.diabres.2012.03.002
Mungrue K, Farrell Williams V. The impact self-monitoring of blood glucose (SMBG) on metabolic control in patients with type 2 diabetes: a developing country perspective. In Caribbean Public Health Agency: 60th Annual Scientific Meeting 2015:1-75.
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