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Self monitoring of blood glucose : a survey of diabetes UK members with type 2 diabetes who use SMBG

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Barnard, Katharine D., Young, Amanda J. and Waugh, Norman. (2010) Self monitoring of blood glucose : a survey of diabetes UK members with type 2 diabetes who use SMBG. BMC Research Notes, Vol.3 (No.1). p. 318. ISSN 1756-0500

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Official URL: http://dx.doi.org/10.1186/1756-0500-3-318

Abstract

Background Aim - to survey members of Diabetes UK who had Type 2 diabetes and who used self monitoring of blood glucose (SMBG), to elicit their views on its usefulness in the management of their diabetes, and how they used the results. A questionnaire was developed for the Diabetes UK website. The questionnaire was posted on the Diabetes UK website until over 500 people had responded. Questions asked users to specify the benefits gained from SMBG, and how these benefits were achieved. We carried out both quantitative analysis and a thematic analysis for the open ended free-text questions. Findings 554 participants completed the survey, of whom 289 (52.2%) were male. 20% of respondents were recently diagnosed (< 6 months). Frequency of SMBG varied, with 43% of participants testing between once and four times a day and 22% testing less than once a month or for occasional periods. 80% of respondents reported high satisfaction with SMBG, and reported feeling more 'in control' of their diabetes management using it. The most frequently reported use of SMBG was to make adjustments to food intake or confirm a hyperglycaemic episode. Women were significantly more likely to report feelings of guilt or self-chastisement associated with out of range readings (p = < .001). Conclusion SMBG was clearly of benefit to this group of confirmed users, who used the results to adjust diet, physical activity or medications. However many individuals (particularly women) reported feelings of anxiety and depression associated with its use.

Item Type: Journal Article
Subjects: R Medicine > RC Internal medicine
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences
Library of Congress Subject Headings (LCSH): Non-insulin-dependent diabetes, Blood sugar monitoring
Journal or Publication Title: BMC Research Notes
Publisher: Bio Med Central
ISSN: 1756-0500
Date: 2010
Volume: Vol.3
Number: No.1
Page Range: p. 318
Identification Number: 10.1186/1756-0500-3-318
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
References: 1. C Clar, K Barnard, E Cummins, P Royle and N Waugh for the Aberdeen Health Technology Assessment Group. Self-monitoring of blood glucose in type 2 diabetes: systematic review. Health Technology Assessment 2010; Vol. 14: No. 12 2. Department of Health Working Group. Self monitoring of blood glucose in noninsulin- treated Type 2 diabetes. February 2010. www.diabetes.nhs.uk/document.php?o=1023 3. Barnard K D, Loveman, E. Are there benefits to self-monitoring of blood glucose in type 2 diabetes? Practical Diabetes International, Volume 25, Issue 5, Date: June 2008, Pages: 170-171 4. O’Kane MJ, Bunting B, Copeland M, Coates VE, for the ESMON study group. Efficacy of self monitoring of blood glucose in patients with newly diagnosed type 2 diabetes (ESMON study): randomised controlled trial. BMJ 2008;336:1174–7. 5. Helsier, M., Piette, JD., Spencer, M., Keiffer, E., Vijan, S. The Relationship Between Knowledge of Recent HbA1c Values and Diabetes Care Understanding and Self- Management, Diabetes Care April 2005, vol.28, no. 4 pp816-822 6. Davis WA, Bruce DG, Davis TM. Is self-monitoring of blood glucose appropriate for all type 2 diabetic patients? The Fremantle Diabetes Study. Diabetes Care 2006;29:1764-70. 7. Karter AJ, Parker MM, Moffet HH, Spence MM, Chan J, Ettner SL et al. Longitudinal study of new and prevalent use of self-monitoring of blood glucose. Diabetes Care 2006;29:1757- 63 8. Martin S, Schneider B, Heinemann L, Lodwig V, Kurth HJ, Kolb H et al. Self-monitoring of blood glucose in type 2 diabetes and long-term outcome: an epidemiological cohort study. Diabetologia 2006;49:271-8. 9. Simon J, Gray A, Clarke P, Wade A, Neil A, Farmer A et al. Cost effectiveness of self monitoring of blood glucose in patients with non-insulin treated type 2 diabetes: economic evaluation of data from the DiGEM trial. BMJ 2008, 336(7654):1177-1180
URI: http://wrap.warwick.ac.uk/id/eprint/50161

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