Usage of glucometer is associated with improved glycaemic control in type 2 diabetes mellitus patients in Malaysian public primary care clinics: an open-label, randomised controlled trial

Self-monitoring of blood glucose (SMBG) has been underutilised. We conducted an open-label, randomised controlled trial to assess the feasibility of introducing SMBG in primary care clinics in Malaysia. This was an open-label, randomised controlled trial conducted in five public primary care clinics...

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Veröffentlicht in:	Singapore medical journal 2013-07, Vol.54 (7), p.391-395
Hauptverfasser:	Ismail, Mastura, Teng, Cheong-Lieng, Teng, Chong-Lieng, Omar, Mimi, Ho, Bee Kiau, Kusiar, Zainab, Hasim, Ruziaton
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Blood Glucose Self-Monitoring Diabetes Mellitus, Type 2 - blood Female Glycated Hemoglobin A - analysis Humans Malaysia Male Middle Aged Primary Health Care
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container_title	Singapore medical journal
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creator	Ismail, Mastura Teng, Cheong-Lieng Teng, Chong-Lieng Omar, Mimi Ho, Bee Kiau Kusiar, Zainab Hasim, Ruziaton
description	Self-monitoring of blood glucose (SMBG) has been underutilised. We conducted an open-label, randomised controlled trial to assess the feasibility of introducing SMBG in primary care clinics in Malaysia. This was an open-label, randomised controlled trial conducted in five public primary care clinics in Malaysia. Patients with type 2 diabetes mellitus (age range 35-65 years) not performing SMBG at the time of the study were randomised to receive either a glucometer for SMBG or usual care. Both groups of patients received similar diabetes care from the clinics. A total of 105 patients with type 2 diabetes mellitus were enrolled. Of these, 58 and 47 were randomised to intervention and control groups, respectively. After six months, the glycated haemoglobin (HbA1c) level in the intervention group showed a statistically significant improvement of 1.3% (p = 0.001; 95% confidence interval 0.6-2.0), relative to the control group that underwent usual care. The percentages of patients that reached the HbA1c treatment target of ≤ 7% were 14.0% and 32.1% in the control and intervention groups (p = 0.036), respectively. The usage of a glucometer improved glycaemic control, possibly due to the encouragement of greater self-care in the intervention group.
doi_str_mv	10.11622/smedj.2013140
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subjects	Adult Aged Blood Glucose Self-Monitoring Diabetes Mellitus, Type 2 - blood Female Glycated Hemoglobin A - analysis Humans Malaysia Male Middle Aged Primary Health Care
title	Usage of glucometer is associated with improved glycaemic control in type 2 diabetes mellitus patients in Malaysian public primary care clinics: an open-label, randomised controlled trial
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