scholarly journals An Evaluation of Digital Health Tools for Diabetes Self-Management in Hispanic Adults: Exploratory Study (Preprint)

2018 ◽  
Author(s):  
Leah Yingling ◽  
Nancy A Allen ◽  
Michelle L Litchman ◽  
Vanessa Colicchio ◽  
Bryan S Gibson
Keyword(s):  
Blood Glucose ◽  
Low Income ◽  
Digital Health ◽  
Wearable Sensors ◽  
Self Management ◽  
Food Diary ◽  
Self Monitoring ◽  
Hispanic Adults ◽  
Monitoring Technologies ◽  
Potential Integration

BACKGROUND Although multiple self-monitoring technologies for type 2 diabetes mellitus (T2DM) show promise for improving T2DM self-care behaviors and clinical outcomes, they have been understudied in Hispanic adult populations who suffer disproportionately from T2DM. OBJECTIVE The objective of this study was to evaluate the acceptability, feasibility, and potential integration of wearable sensors for diabetes self-monitoring among Hispanic adults with self-reported T2DM. METHODS We conducted a pilot study of T2DM self-monitoring technologies among Hispanic adults with self-reported T2DM. Participants (n=21) received a real-time continuous glucose monitor (RT-CGM), a wrist-worn physical activity (PA) tracker, and a tablet-based digital food diary to self-monitor blood glucose, PA, and food intake, respectively, for 1 week. The RT-CGM captured viewable blood glucose concentration (mg/dL) and PA trackers collected accelerometer-based data, viewable on the device or an associated tablet app. After 1 week of use, we conducted a semistructured interview with each participant to understand experiences and thoughts on integration of the data from the devices into a technology-facilitated T2DM self-management intervention. We also conducted a brief written questionnaire to understand participants’ self-reported T2DM history and past experience using digital health tools for T2DM self-management. Feasibility was measured by device utilization and objective RT-CGM, PA tracker, and diet logging data. Acceptability and potential integration were evaluated through thematic analysis of verbatim interview transcripts. RESULTS Participants (n=21, 76% female, 50.4 [SD 11] years) had a mean self-reported hemoglobin A1c of 7.4 [SD 1.8] mg/dL and had been diagnosed with T2DM for 7.4 [SD 5.2] years (range: 1-16 years). Most (89%) were treated with oral medications, whereas the others self-managed through diet and exercise. Nearly all participants (n=20) used both the RT-CGM and PA tracker, and 52% (11/21) logged at least one meal, with 33% (7/21) logging meals for 4 or more days. Of the 8 possible days, PA data were recorded for 7.1 [SD 1.8] days (range: 2-8), and participants averaged 7822 [SD 3984] steps per day. Interview transcripts revealed that participants felt most positive about the RT-CGM as it unveiled previously unknown relationships between lifestyle and health and contributed to changes in T2DM-related thoughts and behaviors. Participants felt generally positive about incorporating the wearable sensors and mobile apps into a future intervention if support were provided by a health coach or health care provider, device training were provided, apps were tailored to their language and culture, and content were both actionable and delivered on a single platform. CONCLUSIONS Sensor-based tools for facilitating T2DM self-monitoring appear to be a feasible and acceptable technology among low-income Hispanic adults. We identified barriers to acceptability and highlighted preferences for wearable sensor integration in a community-based intervention. These findings have implications for the design of T2DM interventions targeting Hispanic adults.

scholarly journals Optimization of Self Monitoring Blood Glucose in Diabetes Mellitus Patients in Detecting Hypoglicemia Episodes: Literature Review

2021 ◽  
Vol 10 (2) ◽  
pp. 47
Author(s):  
Ninik Ambar Sari ◽  
Ceria Nurhayati
Keyword(s):  
Diabetes Mellitus ◽  
Blood Glucose ◽  
Literature Review ◽  
Preventive Measure ◽  
Diabetes Mellitus Patient ◽  
Self Management ◽  
Inclusion Criteria ◽  
Self Monitoring ◽  
Patients With Diabetes ◽  
Blood Glucose Self Monitoring

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.

scholarly journals Social factors associated with practice of self-monitoring of blood glucose among type-2 diabetic patients

2020 ◽  
Vol 7 (8) ◽  
pp. 3020
Author(s):  
Sindhu B. M. ◽  
Rashmi B. M. ◽  
Prashanth G. ◽  
Abhinandan S. Kumbar
Keyword(s):  
Blood Glucose ◽  
Social Factors ◽  
Self Management ◽  
Diabetic Patients ◽  
Age Group ◽  
Self Monitoring ◽  
Factors Associated ◽  
Higher Educational ◽  
Hba1c Levels

Background: Self-monitoring of blood glucose (SMBG) is an effective self-management tool to achieve desirable haemoglobin A1c (HbA1c) targets and minimizing glucose variability, when the data is timely reviewed and acted upon by healthcare providers and diabetic patients to actively modify behaviour and/or adjust treatment. SMBG improves patient’s disease awareness and participation in disease management.Methods: This cross-sectional study was conducted at Basaveshwara Hospital, Chitradurga, to estimate percentage of type-2 diabetics practicing SMBG and to assess social factors associated with SMBG practice. Diabetic patients in age-group of 18-75 years were included in the study. Information was collected by interview technique, clinical examination and review of laboratory reports.Results: A 21.5% patients were practicing SMBG. SMBG practice was significantly higher among patients who were urban-area residents (25.0%), with higher educational qualifications (42.2% of patients who studied up-to 12th standard and/or above), with better awareness of diabetes self-management (28.9%) and with better socio-economic status (35.3%). Majority of patients with longer duration of diabetes (4.9±1.5 years), relatively older age group (57.3±2.5 years), with associated co-morbid conditions (26.8%) were found to be practicing SMBG. HbA1c levels were significantly lower among SMBG practicing group (6.6±0.7%).Conclusions: Better health literacy, higher educational qualifications, financial stability, easier access to specialized anti-diabetic health-care are favourable factors for SMBG practice. Study also highlighted favourable effect of SMBG practice on effective achievement of target HbA1c levels.

scholarly journals Blood Glucose Monitoring and Sharing Amongst People With Diabetes and Their Facilitators: Cross-sectional Study of Methods and Practices

JMIR Diabetes ◽  
10.2196/29178 ◽  
2021 ◽  
Vol 6 (4) ◽  
pp. e29178
Author(s):  
Amr Jamal ◽  
Shabana Tharkar ◽  
Weam Saleh Babaier ◽  
Shrooq Faisal Alsomali ◽  
Allulu Saad Alsulayhim ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Blood Glucose ◽  
Cross Sectional Study ◽  
Diabetes Control ◽  
Self Management ◽  
Sectional Study ◽  
Cross Sectional ◽  
Self Monitoring ◽  
Digital Devices

Background The last two decades have witnessed a burgeoning rise in the prevalence of diabetes globally. It has already reached epidemic proportions in Saudi Arabia, with reported high risk among women. As a result, diabetes monitoring and self-management programs are being highly prioritized for diabetes control and management. Objective To investigate measuring and sharing practices of the self-monitoring of blood glucose (SMBG) among patients with type 1 or 2 diabetes using insulin. Methods A cross-sectional study was conducted on a sample of 203 patients attending primary care clinics at a tertiary care center. The questionnaire assessed the measuring, recording, and sharing of SMBG practices of patients having diabetes with their physicians. The methods used for recording and sharing were categorized into paper-based and electronic-based. In addition, the determinants of the different methods used and frequency of sharing were analyzed. Results The overall monitoring prevalence was 95% (193/203), and 57% (117/203) of participants shared the SMBG results. Among the 193 individuals that performed self-monitoring, 138 (72%) performed daily monitoring, and 147 (76%) recorded their blood sugar levels. Almost 55% (81/147) used paper-based materials like notebooks and paper for recording, while the rest (66/147, 45%) used digital devices like laptops and smartphones. A shift towards the use of digital devices and smart applications was observed in patients below 50 years of age. The digitally recorded blood glucose measurements were being shared thrice more often than the recordings made on paper or in notebooks (OR [odds ratio] 2.8; P=.01). Patients >50 years of age (OR 2.3; P=.02), with lesser formal education, married (OR 4.2; P<.001), with smaller family size (OR 2.6; P=.01), having type 2 diabetes (OR 4.1; P<.001) and any comorbid conditions (OR 2.6; P=.01) were associated with higher odds of using paper-based sharing methods. Only the female gender and type 2 diabetes were associated with increased frequency of sharing, while uncontrolled diabetes, the presence of other comorbidities, and duration of diabetes did not show any influence. Conclusions Good monitoring and optimal sharing practices were found. Sharing using electronic devices can be emphasized. Diabetes self-management programs can incorporate the use of digital technology in training sessions. Digital literacy and its applications in health care may enhance SMBG practices resulting in better diabetes control.

84 SELF-MONITORING OF BLOOD GLUCOSE IN TYPE 2 DIABETES MELLITUS: USE OF AN AUTOMATED SELF-MANAGEMENT SYSTEM.

2007 ◽  
Vol 55 (2) ◽  
pp. S362.4-S362
Author(s):  
K. D. Oden ◽  
T. Bomzer ◽  
P. Knudson ◽  
R. Fleming ◽  
J. Levine ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Blood Glucose ◽  
Management System ◽  
Self Management ◽  
Self Monitoring

Adequacy of health literacy and its effect on diabetes self-management: a meta-analysis

2020 ◽  
Vol 26 (6) ◽  
pp. 458
Author(s):  
Xiu-mei Guo ◽  
Xia Zhai ◽  
Bo-ru Hou
Keyword(s):  
Health Literacy ◽  
Low Income ◽  
Formal Education ◽  
Meta Analysis ◽  
Income Group ◽  
Self Management ◽  
Eligibility Criteria ◽  
Self Monitoring ◽  
Factors Affecting

This study evaluated the role of health literacy (HL) in the self-management of diabetes. A literature search was conducted in electronic databases and studies were selected using precise eligibility criteria. A meta-analysis was conducted to estimate the HL adequacy rate, factors affecting the adequacy of HL and correlations between HL and diabetes self-management variables. Thirty-three studies were included in the analysis. The HL adequacy rate was 67% (95% confidence interval (CI) 57, 76). Compared with patients with inadequate HL, patients with adequate HL were younger (mean difference –5.2 years; 95% CI −7.2, −3.2; P&lt;0.00001), more likely to have a high school or higher level of education (odds ratio (OR) 8.39; 95% CI 5.03, 13.99]; P&lt;0.00001) and were less likely to belong to a low-income group (OR 0.36; 95% CI 0.23, 0.56; P&lt;0.00001). HL was positively correlated with self-monitoring (r=0.19; 95% CI 0.11, 0.27; P&lt;0.00001), dietary and physical care (r=0.12; 95% CI 0.07, 0.18; P=0.009), diabetes knowledge (r=0.29; 95% CI 0.09, 0.45; P&lt;0.001), self-efficacy (r=0.28; 95% CI 0.15, 0.41; P&lt;0.00001), self-care (0.24; 95% CI 0.16, 0.31; P&lt;0.00001), formal education (r=0.35; 95% CI 0.18, 0.53; P&lt;0.00001) and social support (r=0.2; 95% CI 0.07, 0.33; P&lt;0.00001). Patient age (r=−0.28; 95% CI −0.39, −0.17; P&lt;0.00001) was inversely correlated with HL. In conclusion, 67% of diabetes patients had adequate HL, with a higher rate among better educated and higher income groups. HL had a statistically significant but weak positive correlation with diabetes self-management variables.

scholarly journals Color Record in Self-Monitoring of Blood Glucose Improves Glycemic Control by Better Self-Management

2014 ◽  
Vol 16 (7) ◽  
pp. 447-453 ◽  
Author(s):  
Akiko Nishimura ◽  
Shin-ichi Harashima ◽  
Ikumi Honda ◽  
Yoshiyuki Shimizu ◽  
Norio Harada ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Glycemic Control ◽  
Self Management ◽  
Self Monitoring

scholarly journals An Evaluation of Digital Health Tools for Diabetes Self-Management in Hispanic Adults: Exploratory Study

JMIR Diabetes ◽  
10.2196/12936 ◽  
2019 ◽  
Vol 4 (3) ◽  
pp. e12936 ◽  
Author(s):  
Leah Yingling ◽  
Nancy A Allen ◽  
Michelle L Litchman ◽  
Vanessa Colicchio ◽  
Bryan S Gibson
Keyword(s):  
Exploratory Study ◽  
Digital Health ◽  
Self Management ◽  
Hispanic Adults

Abstract 15858: Efficacy of Hypertension Self-management Classes Among Low-Income Patients of a Federally Qualified Health Center

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Cameron Eck ◽  
Holly Biola ◽  
Dominique Bulgin ◽  
Colette A Whitney ◽  
Melanie Bakovic ◽  
...  
Keyword(s):  
Blood Pressure ◽  
High Risk ◽  
Low Income ◽  
Community Setting ◽  
Heart Association ◽  
Self Management ◽  
Self Monitoring ◽  
Class Attendance ◽  
Hispanic Patients ◽  
Risk Patients

Introduction: Racial and socioeconomic disparities in hypertension prevalence and treatment have been observed over numerous decades. There is opportunity to close racial disparities by focusing resources on patient education, skill-building, and self-management. Methods: A hypertension-reduction program was established between an academic-affiliated FQHC in the southeast, the American Heart Association, the Centers for Disease Control, and the American College of Preventive Medicine using a multidisciplinary outreach model in the community setting. Participants included 265 high-risk patients from the FQHC with severe hypertension (>160/90 mm HG). Program activities included a weekly class where participants learned about hypertension, were trained to take their blood pressure (BP), and received cuffs to use at home. A prospective pre-post cohort design was used to evaluate this portion of the program. Participants’ attendance at the self-management classes was tracked along with BP measurements at every class attended. Results: Over the program’s first 6 months, 93 of the 265 recruited participants attended at least one of 28 BP management classes. The 29 participants who attended multiple classes achieved an average 19 mm HG reduction in systolic BP ( p =0.004) and an average 14 mm HG reduction in diastolic BP ( p =0.002). Patients who were Black were significantly more likely to attend multiple classes than patients who were Hispanic ( p =0.004). Also, patients who were self-monitoring their BP prior to class attendance were significantly more likely to attend multiple classes than those who were not previously self-monitoring ( p =0.014). Multiple class attendance was also associated with higher baseline BP ( p =0.038 for systolic and p =0.018 for diastolic). Conclusions: Implementation of blood pressure self-management classes showed success in reducing hypertension among many of the high-risk participants. Hispanic patients were much less likely to attend multiple classes, underscoring the need for culturally and linguistically appropriate class content. The low proportion of Hispanic patients previously monitoring their BP points to an opportunity to improve patient awareness about hypertension among Hispanic populations generally.

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