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Self-Monitoring of Blood Glucose Among Diabetes Patients Attending Government Health Clinics

Mastura I., and Mimi O., and Piterman, L., and Teng, C.L., and Wijesinha, S., (2007) Self-Monitoring of Blood Glucose Among Diabetes Patients Attending Government Health Clinics. Medical Journal of Malaysia, 62 (2). pp. 147-151. ISSN 0300-5283

Full text not available from this repository.

Affiliations

Kuala Pilah Health Clinic
Kelana Jaya Health Clinic.
Monash University, Australia. Dept. of General Practice.
International Medical University, Malaysia.
Monash University, Australia. Dept. of General Practice.

Abstract

The aim of this study were (i) to determine the prevalence of self-monitoring of blood glucose (SMBG) among Type 2 diabetes patients attending government health clinics and (ii) to ascertain the factors influencing SMBG. Five hundred and fifty-six Type 2 diabetes patients from two government health clinics in Selangor and Negeri Sembilan were interviewed using a structured questionnaire. The total subject of the study were 556 patients. Eighty-five patients (15.3%) of patients; performed SMBG. However, 170 subjects were included in the statistical analysis, 85 patients who were not self-monitoring were randomly selected and was compared with 85 patients who were self-monitoring. Among those who performed SMBG, the majority (83.5%) monitored less than once per day and only 16.5% monitored at least once a day. One-third of patients adjusted their medications based on their SMBG results. The higher patient's level of education (p= 0.024, CI 1.29 — 35.3); the higher total family income (p= 0.041, CI 1.26 — 4.79); the longer duration of diabetes (p<0.01, CI 2.22 — 7.29); and treatment regime which includes insulin (p< 0.001, CI 2.05 — 9.24) were significant predictors of SMBG practice. Although SMBG is recognised to be useful and effective in achieving diabetes control, this study has found that only a minority of patients with diabetes performed SMBG. Hence healthcare personnel must increase awareness on the importance of SMBG and strongly promote the practice among diabetic patients.

Item Type:Journal
Additional Information:This study was supported by a grant from International Medical University (Grant Number IMU 107/2006). We are also grateful to Professor Kim Teng Ng and Dr David Austin from the Department of General Practice, Monash University, Australia for their valuable guidance and comments and to Johnson & Johnson Malaysia provided a travel grant for MI but did not influence the study protocol or the interpretation of the data.
Keywords:Self-monitoring of blood glucose, Diabetes mellitus, Primary health care
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:6072

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