scholarly journals Self-monitoring of blood glucose: The user experience and device interactions of older adults with type 2 diabetes mellitus

Author(s):  
S. Daphne Prado-Jimenez ◽  
Rosa Amelia Rosales-Cinco ◽  
Carlos Aceves-Gonzalez ◽  
Alexandra R. Lang

In Mexico, the Type 2 Diabetes mellitus (DM2) is a public health problem and causes early mortality. The highest prevalence is in the elderly population, between 60 and 79 years. Adherence to the treatment and the self-monitoring of blood glucose is often poor. For patients with DM2, the self-monitoring of blood glucose is a useful tool in the management of this chronic condition because it helps to establish a profile of blood glucose levels and to know how the patient is responding to nutrition and pharmacotherapy. This project is being developed with the aim to identify the requirements of older adults with diabetes mellitus type 2 for the use of the glucometer. It will be carried out clinician interviews and individual trials with older adults who suffer this illness. This paper also aims to share a learning experience with the Human-Computer Interaction community working within the medical device industry.

Author(s):  
Uriëll L Malanda ◽  
Laura MC Welschen ◽  
Ingrid I Riphagen ◽  
Jacqueline M Dekker ◽  
Giel Nijpels ◽  
...  

2021 ◽  
Vol 7 (4) ◽  
pp. 336-346
Author(s):  
OO Sodipo ◽  
AB Ademolu ◽  
S Odunaye-Badmus ◽  
EO Oluwatuyi ◽  
R Odiana

Background: The prevalence of Diabetes mellitus (DM) is increasing worldwide. The complications of DM arising from hyperglycaemia are well documented and. However, there is a lack of data, poor awareness and information on hypoglycaemia in DM. Objective: To describe the prevalence and factors associated with hypoglycaemia among patients with Type 2 Diabetes mellitus (DM). Methods: This was a retrospective study of the clinical records of patients with Type 2 DM at the Family Medicine Clinic of a Nigerian teaching hospital from January 2019 to January 2020. The sociodemographic and clinical characteristics, including hypoglycaemia, Glycosylated Haemoglobin (HbA1c), Fasting and Random blood glucose, were retrieved. Results: A total number of 570 patients were assessed, with a prevalence of 43 (7.5%) of hypoglycaemia. The mean age of the patients in the study was 58.2±10.9 years (range: 36-83 years). Metformin (557; 97.7%), Sulphonylureas (377; 66.1%), Dipeptidylpeptidase -4 inhibitors (137; 24.0%) and insulin (72; 12.6%) were the most prescribed anti-diabetic medications. hypoglycaemiaA majority (29; 67.4%) of the hypoglycaemia episodes occurred in the morning, while most (24; 55.8%) of the episodes of hypoglycaemia were mild. Mean age (t= 2.35; p = 0.019), presence of hypertension (X2 = 6.92, p = 0.008) and dyslipidaemia (X2 = 7.86, p = 0.005) were associated with hypoglycaemia. Conclusions: The prevalence of hypoglycaemia in the Outpatient clinic was low, while the presence of comorbidities                                   (hypertension and dyslipidaemia) and age were associated with hypoglycaemia. There is a need for patient education and Self-Monitoring of Blood Glucose (SMBG) to prevent complications of hypoglycaemia. hypoglycaemia


2020 ◽  
Vol 9 (4) ◽  
pp. 303
Author(s):  
Fatma Nuraisyah ◽  
Solikhah Solikhah ◽  
Rochana Ruliyandari

Diabetes is a public health problem in Indonesia that has been increasing in recent decades. Screening for diabetes was usually identified as pregnant women, adolescents, adults, children, older and obesity, while based on investigation descendent was yet. This cross-sectional study aimed to know the random level blood glucose of family history type 2 diabetes mellitus (T2DM). The target group for screening was people with a family history in one of their descent of T2DM with age >20 years in Kulon Progo, DIY, Indonesia. We conducted a detection of random level blood glucose from a venous blood sample. A high level of blood glucose was diagnosed when random blood glucose reaches ≥200 mg/dl. The participant with high level of blood glucose was 29.0%, while borderline blood glucose (≥110-199 mg/dl) was revealed 38.7% of 15.3% subject indicated with mother history. Descendant screening of family history T2DM is early detected respondent with high glucose level and reduced the severe complication.


2018 ◽  
Vol 06 (01) ◽  
pp. 027-033
Author(s):  
Ejiofor Ugwu ◽  
Ibrahim Gezawa ◽  
Olufunmilayo Adeleye

Objective:The aim of this study was to evaluate if intensified self-monitoring of blood glucose (SMBG) improves glycemic control in insulin-treated subjects with type 2 diabetes mellitus (T2DM). Methods:Ninety-six adults with stable but poorly controlled [glycated hemoglobin (HbA1c) level >7.5%] T2DM receiving twice-daily biphasic insulin were randomly assigned to either of the two groups: intensive monitors (IM) that performed SMBG at least twice daily or conventional monitors (CM) that performed SMBG at their discretionary frequency for 12 weeks. Demographic, clinical, and glycemic indices, including fasting blood glucose (FBG), postprandial glucose (PPG), and HbA1c, were compared at baseline and week 12. Results:A total of 71 subjects (25 IM and 46 CM) completed the study. Both groups had similar HbA1c at baseline. From baseline to week 12, the IM group had higher mean daily test strip usage (P <0.001), engaged in more frequent insulin dose adjustments (P <0.001), and attained greater daily insulin dosage (P = 0.002). All glycemic indices including FBG, PPG, and HbA1c improved significantly from baseline to week 12 in the IM but not in the CM group. HbA1c level declined by −1.2 ±0.4% in the IM group (P = 0.002). There was no difference in the frequency of hypoglycemia in both groups. The monthly cost of intensified SMBG was nearly four times that of conventional monitoring (P <0.001). Conclusion:Both short- and long-term glycemic control significantly improved by intensified SMBG in stable but poorly controlled insulin-treated adults with T2DM. Intensified SMBG enabled better self-titration of insulin and probably other self-care practices. This benefit, however, occurred at the expense of costs that may be difficult to sustain in resource-poor countries.


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