Self-monitoring of blood glucose and perceived obstacles in Turkish patients with diabetes mellitus

2014 ◽  
Author(s):  
Ozlem Turhan Iyidir ◽  
Mustafa Unubol ◽  
Bulent Ogun Hatipoglu ◽  
Ceyla Konca Degertekin
Medicina ◽  
2021 ◽  
Vol 57 (2) ◽  
pp. 167
Author(s):  
Gyorgy Jermendy ◽  
Agnes Kecskes ◽  
Attila Nagy

Background and Objectives: In patients with diabetes mellitus, hypoglycaemic episodes, especially during night hours, carry a significant risk. Data about the occurrence of nocturnal hypoglycaemia in real-world settings are of clinical importance. The aim of our study was to evaluate the occurrence of nocturnal hypoglycaemia among patients with diabetes using self-monitoring of blood glucose (SMBG) with telemedicine support. Materials and Methods: We retrospectively analysed the central database of an internet-based supportive system between 2010 and 2020 when 8190 SMBG users uploaded nearly 10 million capillary blood glucose values. Nocturnal hypoglycaemia was defined as capillary blood glucose < 3.0 mmol/L measured between 00:00 and 05:59 h. Results: The database contained 914,146 nocturnal blood glucose values from 7298 users; 24,623 (2.7%) glucose values were below the hypoglycaemic threshold and 2363 patients (32.4%) had at least one hypoglycaemic glucose value. Nocturnal hypoglycaemia was more often found in patients with type 1 vs. type 2 diabetes (n = 1890 (80.0%) vs. n = 387 (16.4%), respectively). Hypoglycaemic blood glucose values were most frequently observed in the age group of 10.0–19.9 years (n = 481 (20.4%)). Patients with nocturnal hypoglycaemia were mostly on insulin treatment (1854 (78.5%) patients with 20,727 (84.1%) hypoglycaemic glucose values). Only 356 patients (15.1%) with nocturnal hypoglycaemia performed a retest within 120 min. Within a one-day-long (1440 min) timeframe, the elapsed median time until a retest, yielding a safe blood glucose value (>3.9 mml/L), was 273 min (interquartile range: 157–300 min). Conclusions: Nocturnal hypoglycaemia should be considered as a persisting challenge to antihyperglycaemic treatment in patients living with diabetes. Continuous efforts are needed to improve both antihyperglycaemic treatment and patient education for preventing nocturnal hypoglycaemia, and to act adequately if hypoglycaemic values are detected.


2021 ◽  
Vol 10 (2) ◽  
pp. 47
Author(s):  
Ninik Ambar Sari ◽  
Ceria Nurhayati

Introduction: Diabetes mellitus is a chronic disease that continues to increase from year to year. The act of detecting hypoglycemic episodes is a must for a diabetic patient. This study aims to present the optimization of blood glucose self-monitoring measures in patients with diabetes mellitus and to review some of the literature on this topic.Methods: This study is a form of literature review of articles with the theme Optimization Self Monitoring Blood Glucose in diabetes mellitus patient detecting hypoglicemia episodes. Articles in this study came from the electronic databases of Google Scholar, PubMed, Proquest, Scopus and Science Direct from 2005 to 2020. Results: Search results using the keywords Self Management Blood Glucose, Hypoglicemia, Diabetes Mellitus were obtained from 57 articles. 18 articles that met the inclusion criteria were then reviewed for their full text. Conclusion: Self Monitoring Blood Glucose is a preventive measure in detecting hypoglycemic episodes. This intervention is the best choice for patients to prevent further complications.


2015 ◽  
Vol 62 (5) ◽  
pp. 233-239
Author(s):  
Alfonso Soto González ◽  
Niurka Quintela Fernández ◽  
Alfonso Pumar López ◽  
Ricardo Darias Garzón ◽  
Margarita Rivas Fernández ◽  
...  

2021 ◽  
Vol 11 (9) ◽  
pp. 181-186
Author(s):  
Abhishek Pradha ◽  
Charutha Reji ◽  
A. R. Shabaraya

Self-monitoring of blood glucose (SMBG) is a very useful method for patients with diabetes to maintain glycaemic control. Different types of barriers in glucometer use of diabetic patients include the high cost of strips, pain, lack of knowledge and motivation, need of assistance and lack of inventory supplies of glucometer. The purpose of the study was to access the prevalence of different types of barriers to the use of glucometer in diabetic patients. A prospective observational study involving 150 diabetic patients was conducted at a Dakshina Kannada from January 2021 to June 2021. The study was conducted among patients of both gender having Type 1 and Type 2 Diabetes mellitus. A total of 150 patients participated in our study qualifying the inclusion criteria. The main factors influencing the glucometer use was related to its cost, pain, lack of knowledge and supply. The barriers found were mainly the cost of the strips, fear for needles, pain, lack of knowledge and motivation, need of assistance and lack of inventory supplies of glucometer. Participants insight to the purpose of glucometer use, complexity, cost, pain related to glucometer as well as educating, catering knowledge and motivation were the key factors taken care by the health care professionals while advising the patients having diabetes mellitus with SMBG. Key words: Self-monitoring blood glucose level (SMBG), Diabetes mellitus (DM).


2010 ◽  
Vol 13 (7) ◽  
pp. A287
Author(s):  
J Franch ◽  
D Orozco ◽  
A García ◽  
A Coiduras ◽  
C Buendía ◽  
...  

2014 ◽  
Vol 35 (4) ◽  
pp. 42-48 ◽  
Author(s):  
Vivian Saraiva Veras ◽  
Manoel Antônio dos Santos ◽  
Flavia Fernanda Luchetti Rodrigues ◽  
Clarissa Cordeiro Alves Arrelias ◽  
Tatiane Aparecida Martins Pedersoli ◽  
...  

This cross-sectional study checks specific self-care activities of patients with diabetes mellitus enrolled in a self-monitoring blood glucose program from August to December 2012 in two Primary Health Care units in the interior of São Paulo, Brazil. The sample was composed of 74 female and male individuals, aged 18 years old or older. The Summary of Diabetes Self-Care Activities Questionnaire was used. It contains six dimensions: general diet, specific diet, physical activity, blood glucose monitoring, foot care, medication usage, plus three items about smoking. Eight out of the 15 self-care activities were within desirable levels, namely: healthy diet, not eating sweets, blood glucose testing and as frequently as recommended, drying between toes after washing feet, and taking medications (three items). The results enabled the identification of gaps in specific self-care activities among patients with diabetes mellitus.


Diabetes Care ◽  
1984 ◽  
Vol 7 (4) ◽  
pp. 313-317 ◽  
Author(s):  
J. C. Prior ◽  
N. C. Alojado ◽  
J. A. Hunt ◽  
I. S. Begg

2018 ◽  
Vol 20 (6) ◽  
pp. 441-448 ◽  
Author(s):  
Nina A. Petunina ◽  
Ekaterina V. Goncharova ◽  
Anna L. Terekhova

Modern representation of self-monitoring blood glucose can be characterised by new technologies introduced in recent years, including tools to identify trends and patterns of glycaemia (PatternAlert ). These technologies simplify self-monitoring and help avoid errors in the interpretation of blood glucose levels in patients. This study examines the primary trends in the management and control of diabetes, as well as the strengths and weaknesses of the control of glycated haemoglobin (HbA1c). In addition, this study raises broader questions on self-control in patients with diabetes mellitus, which are beyond the issues of the normalisation of blood glucose levels.


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