Determinants of self-monitoring of blood glucose in patients with Type 1 diabetes: a multi-centre study in Brazil
Aim The aim of this study was to determine the relationship between the daily frequency of self‐monitoring of blood glucose and glycaemic control, demographic and socio‐economic status in patients with Type 1 diabetes under routine clinical care in Brazil. Methods This was a cross‐sectional, multi‐c...
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| Veröffentlicht in: | Diabetic medicine 2013-10, Vol.30 (10), p.1255-1262 |
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| creator | Gomes, M. B. Tannus, L. R. M. Cobas, R. A. Matheus, A. S. M. Dualib, P. Zucatti, A. T. Cani, C. Guedes, A. D. Santos, F. M. Sepulveda, J. Tolentino, M. Façanha, M. C. Faria, A. C. R. A. Lavigne, S. Montenegro, A. P. Rodacki, M. de Fatima Guedes, M. Szundy, R. Cordeiro, M. M. Santos, P. T. S. Negrato, C. A. |
| description | Aim
The aim of this study was to determine the relationship between the daily frequency of self‐monitoring of blood glucose and glycaemic control, demographic and socio‐economic status in patients with Type 1 diabetes under routine clinical care in Brazil.
Methods
This was a cross‐sectional, multi‐centre study conducted between December 2008 and December 2010 in 28 public clinics in 20 Brazilian cities. The data were obtained from 3176 patients, aged 22 ± 11.8 years, of whom 56.3% were female and 57.4% were Caucasian. The mean time since diabetes diagnosis was 11.7 ± 8.1 years.
Results
The prevalence of self‐monitoring of blood glucose was 88.5%. There was a significant increase in self‐monitoring frequency associated with female gender, lower ages, more intensive diabetes management and higher socio‐economic status. A correlation between HbA1c levels and the daily frequency of self‐monitoring was observed (rs = –0.13; P = 0.001). The mean HbA1c levels were related to the daily frequency of self‐monitoring (P |
| doi_str_mv | 10.1111/dme.12236 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1449761006</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3083458121</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3696-915d140d54817f9c50059c12b39f2420aa227cce9b98df20f51b2db310cf402c3</originalsourceid><addsrcrecordid>eNqN0dFuFCEUBmBiNHZbvfAFDIkx0YtpOcAMi3e6bVdN1ZuaXhKGgUplhhVm0q5P47P4ZLLutiYmJnIDId85B_Ij9ATIIZR11PX2EChlzT00A97wquYS7qMZEZxWjAjYQ_s5XxECVDL5EO1RJmg50xlKx3a0qfeDHsaMo8PZBlf1cfBjTH643Fy1IcYOX4bJxGyxH_BKj95u_LUfv-Dz9cr-_AG487otzfIrrHE_hdFXpqBkcR6nbr2pe5P0dx8eoQdOh2wf7_YD9Pn05Hzxtjr7tHy3eH1WGdbIppJQd8BJV_M5CCdNTUgtDdCWSUc5JVpTKoyxspXzzlHiamhp1zIgxnFCDTtAL7Z9Vyl-m2weVe-zsSHowcYpK-BcigYIaf6DsnktKOdQ6LO_6FWc0lA-slGCEjLnpKiXW2VSzDlZp1bJ9zqtFRC1yUyVzNTvzIp9uus4tb3t7uRtSAU83wGdjQ4u6cH4_McJUV4Hsrijrbv2wa7_PVEdfzi5HV1tK3we7c1dhU5fVSOYqNXFx6U6ZbK-WMBSvWe_AIwzuzw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1437200840</pqid></control><display><type>article</type><title>Determinants of self-monitoring of blood glucose in patients with Type 1 diabetes: a multi-centre study in Brazil</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Gomes, M. B. ; Tannus, L. R. M. ; Cobas, R. A. ; Matheus, A. S. M. ; Dualib, P. ; Zucatti, A. T. ; Cani, C. ; Guedes, A. D. ; Santos, F. M. ; Sepulveda, J. ; Tolentino, M. ; Façanha, M. C. ; Faria, A. C. R. A. ; Lavigne, S. ; Montenegro, A. P. ; Rodacki, M. ; de Fatima Guedes, M. ; Szundy, R. ; Cordeiro, M. M. ; Santos, P. T. S. ; Negrato, C. A.</creator><creatorcontrib>Gomes, M. B. ; Tannus, L. R. M. ; Cobas, R. A. ; Matheus, A. S. M. ; Dualib, P. ; Zucatti, A. T. ; Cani, C. ; Guedes, A. D. ; Santos, F. M. ; Sepulveda, J. ; Tolentino, M. ; Façanha, M. C. ; Faria, A. C. R. A. ; Lavigne, S. ; Montenegro, A. P. ; Rodacki, M. ; de Fatima Guedes, M. ; Szundy, R. ; Cordeiro, M. M. ; Santos, P. T. S. ; Negrato, C. A. ; Brazilian Type 1 Diabetes Study Group (BrazDiab1SG)</creatorcontrib><description>Aim
The aim of this study was to determine the relationship between the daily frequency of self‐monitoring of blood glucose and glycaemic control, demographic and socio‐economic status in patients with Type 1 diabetes under routine clinical care in Brazil.
Methods
This was a cross‐sectional, multi‐centre study conducted between December 2008 and December 2010 in 28 public clinics in 20 Brazilian cities. The data were obtained from 3176 patients, aged 22 ± 11.8 years, of whom 56.3% were female and 57.4% were Caucasian. The mean time since diabetes diagnosis was 11.7 ± 8.1 years.
Results
The prevalence of self‐monitoring of blood glucose was 88.5%. There was a significant increase in self‐monitoring frequency associated with female gender, lower ages, more intensive diabetes management and higher socio‐economic status. A correlation between HbA1c levels and the daily frequency of self‐monitoring was observed (rs = –0.13; P = 0.001). The mean HbA1c levels were related to the daily frequency of self‐monitoring (P < 0.001) without additional benefit to patients who performed self‐monitoring more than four times daily (9.2, 11.2, 10.2,15.2 and 15% for one, two, three, four, five or more self‐monitoring tests daily, respectively; P < 0.0001).
Conclusions
The majority of our patients (88.5%) performed three or more self‐monitoring tests daily, with more frequent testing reported by females, younger patients, those on intensive insulin regimens and of higher socio‐economic status. No additional benefit was found in patients who performed self‐monitoring more than four times daily. The diabetes care team must improve patients' education regarding self‐monitoring of blood glucose and its benefits.</description><identifier>ISSN: 0742-3071</identifier><identifier>EISSN: 1464-5491</identifier><identifier>DOI: 10.1111/dme.12236</identifier><identifier>PMID: 23721292</identifier><identifier>CODEN: DIMEEV</identifier><language>eng</language><publisher>Oxford: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Analysis of Variance ; Biological and medical sciences ; Blood Glucose - metabolism ; Blood Glucose Self-Monitoring ; Brazil - epidemiology ; Cross-Sectional Studies ; Diabetes ; Diabetes Mellitus, Type 1 - blood ; Diabetes Mellitus, Type 1 - drug therapy ; Diabetes Mellitus, Type 1 - epidemiology ; Diabetes. Impaired glucose tolerance ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Feeding. Feeding behavior ; Female ; Follow-Up Studies ; Fundamental and applied biological sciences. Psychology ; Glycated Hemoglobin A - metabolism ; Humans ; Hypoglycemic Agents - therapeutic use ; Insulin - therapeutic use ; Male ; Medical sciences ; Patient Compliance ; Patient Education as Topic ; Quality of Life ; Retrospective Studies ; Socioeconomic Factors ; Time Factors ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Vertebrates: endocrinology</subject><ispartof>Diabetic medicine, 2013-10, Vol.30 (10), p.1255-1262</ispartof><rights>2013 The Authors. Diabetic Medicine © 2013 Diabetes UK</rights><rights>2014 INIST-CNRS</rights><rights>2013 The Authors. Diabetic Medicine © 2013 Diabetes UK.</rights><rights>Diabetic Medicine © 2013 Diabetes UK</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3696-915d140d54817f9c50059c12b39f2420aa227cce9b98df20f51b2db310cf402c3</citedby><cites>FETCH-LOGICAL-c3696-915d140d54817f9c50059c12b39f2420aa227cce9b98df20f51b2db310cf402c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fdme.12236$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fdme.12236$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27738519$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23721292$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gomes, M. B.</creatorcontrib><creatorcontrib>Tannus, L. R. M.</creatorcontrib><creatorcontrib>Cobas, R. A.</creatorcontrib><creatorcontrib>Matheus, A. S. M.</creatorcontrib><creatorcontrib>Dualib, P.</creatorcontrib><creatorcontrib>Zucatti, A. T.</creatorcontrib><creatorcontrib>Cani, C.</creatorcontrib><creatorcontrib>Guedes, A. D.</creatorcontrib><creatorcontrib>Santos, F. M.</creatorcontrib><creatorcontrib>Sepulveda, J.</creatorcontrib><creatorcontrib>Tolentino, M.</creatorcontrib><creatorcontrib>Façanha, M. C.</creatorcontrib><creatorcontrib>Faria, A. C. R. A.</creatorcontrib><creatorcontrib>Lavigne, S.</creatorcontrib><creatorcontrib>Montenegro, A. P.</creatorcontrib><creatorcontrib>Rodacki, M.</creatorcontrib><creatorcontrib>de Fatima Guedes, M.</creatorcontrib><creatorcontrib>Szundy, R.</creatorcontrib><creatorcontrib>Cordeiro, M. M.</creatorcontrib><creatorcontrib>Santos, P. T. S.</creatorcontrib><creatorcontrib>Negrato, C. A.</creatorcontrib><creatorcontrib>Brazilian Type 1 Diabetes Study Group (BrazDiab1SG)</creatorcontrib><title>Determinants of self-monitoring of blood glucose in patients with Type 1 diabetes: a multi-centre study in Brazil</title><title>Diabetic medicine</title><addtitle>Diabet. Med</addtitle><description>Aim
The aim of this study was to determine the relationship between the daily frequency of self‐monitoring of blood glucose and glycaemic control, demographic and socio‐economic status in patients with Type 1 diabetes under routine clinical care in Brazil.
Methods
This was a cross‐sectional, multi‐centre study conducted between December 2008 and December 2010 in 28 public clinics in 20 Brazilian cities. The data were obtained from 3176 patients, aged 22 ± 11.8 years, of whom 56.3% were female and 57.4% were Caucasian. The mean time since diabetes diagnosis was 11.7 ± 8.1 years.
Results
The prevalence of self‐monitoring of blood glucose was 88.5%. There was a significant increase in self‐monitoring frequency associated with female gender, lower ages, more intensive diabetes management and higher socio‐economic status. A correlation between HbA1c levels and the daily frequency of self‐monitoring was observed (rs = –0.13; P = 0.001). The mean HbA1c levels were related to the daily frequency of self‐monitoring (P < 0.001) without additional benefit to patients who performed self‐monitoring more than four times daily (9.2, 11.2, 10.2,15.2 and 15% for one, two, three, four, five or more self‐monitoring tests daily, respectively; P < 0.0001).
Conclusions
The majority of our patients (88.5%) performed three or more self‐monitoring tests daily, with more frequent testing reported by females, younger patients, those on intensive insulin regimens and of higher socio‐economic status. No additional benefit was found in patients who performed self‐monitoring more than four times daily. The diabetes care team must improve patients' education regarding self‐monitoring of blood glucose and its benefits.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Analysis of Variance</subject><subject>Biological and medical sciences</subject><subject>Blood Glucose - metabolism</subject><subject>Blood Glucose Self-Monitoring</subject><subject>Brazil - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 1 - blood</subject><subject>Diabetes Mellitus, Type 1 - drug therapy</subject><subject>Diabetes Mellitus, Type 1 - epidemiology</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Glycated Hemoglobin A - metabolism</subject><subject>Humans</subject><subject>Hypoglycemic Agents - therapeutic use</subject><subject>Insulin - therapeutic use</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Patient Compliance</subject><subject>Patient Education as Topic</subject><subject>Quality of Life</subject><subject>Retrospective Studies</subject><subject>Socioeconomic Factors</subject><subject>Time Factors</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Vertebrates: endocrinology</subject><issn>0742-3071</issn><issn>1464-5491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqN0dFuFCEUBmBiNHZbvfAFDIkx0YtpOcAMi3e6bVdN1ZuaXhKGgUplhhVm0q5P47P4ZLLutiYmJnIDId85B_Ij9ATIIZR11PX2EChlzT00A97wquYS7qMZEZxWjAjYQ_s5XxECVDL5EO1RJmg50xlKx3a0qfeDHsaMo8PZBlf1cfBjTH643Fy1IcYOX4bJxGyxH_BKj95u_LUfv-Dz9cr-_AG487otzfIrrHE_hdFXpqBkcR6nbr2pe5P0dx8eoQdOh2wf7_YD9Pn05Hzxtjr7tHy3eH1WGdbIppJQd8BJV_M5CCdNTUgtDdCWSUc5JVpTKoyxspXzzlHiamhp1zIgxnFCDTtAL7Z9Vyl-m2weVe-zsSHowcYpK-BcigYIaf6DsnktKOdQ6LO_6FWc0lA-slGCEjLnpKiXW2VSzDlZp1bJ9zqtFRC1yUyVzNTvzIp9uus4tb3t7uRtSAU83wGdjQ4u6cH4_McJUV4Hsrijrbv2wa7_PVEdfzi5HV1tK3we7c1dhU5fVSOYqNXFx6U6ZbK-WMBSvWe_AIwzuzw</recordid><startdate>201310</startdate><enddate>201310</enddate><creator>Gomes, M. B.</creator><creator>Tannus, L. R. M.</creator><creator>Cobas, R. A.</creator><creator>Matheus, A. S. M.</creator><creator>Dualib, P.</creator><creator>Zucatti, A. T.</creator><creator>Cani, C.</creator><creator>Guedes, A. D.</creator><creator>Santos, F. M.</creator><creator>Sepulveda, J.</creator><creator>Tolentino, M.</creator><creator>Façanha, M. C.</creator><creator>Faria, A. C. R. A.</creator><creator>Lavigne, S.</creator><creator>Montenegro, A. P.</creator><creator>Rodacki, M.</creator><creator>de Fatima Guedes, M.</creator><creator>Szundy, R.</creator><creator>Cordeiro, M. M.</creator><creator>Santos, P. T. S.</creator><creator>Negrato, C. A.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>201310</creationdate><title>Determinants of self-monitoring of blood glucose in patients with Type 1 diabetes: a multi-centre study in Brazil</title><author>Gomes, M. B. ; Tannus, L. R. M. ; Cobas, R. A. ; Matheus, A. S. M. ; Dualib, P. ; Zucatti, A. T. ; Cani, C. ; Guedes, A. D. ; Santos, F. M. ; Sepulveda, J. ; Tolentino, M. ; Façanha, M. C. ; Faria, A. C. R. A. ; Lavigne, S. ; Montenegro, A. P. ; Rodacki, M. ; de Fatima Guedes, M. ; Szundy, R. ; Cordeiro, M. M. ; Santos, P. T. S. ; Negrato, C. A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3696-915d140d54817f9c50059c12b39f2420aa227cce9b98df20f51b2db310cf402c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Analysis of Variance</topic><topic>Biological and medical sciences</topic><topic>Blood Glucose - metabolism</topic><topic>Blood Glucose Self-Monitoring</topic><topic>Brazil - epidemiology</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 1 - blood</topic><topic>Diabetes Mellitus, Type 1 - drug therapy</topic><topic>Diabetes Mellitus, Type 1 - epidemiology</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Etiopathogenesis. Screening. Investigations. Target tissue resistance</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Glycated Hemoglobin A - metabolism</topic><topic>Humans</topic><topic>Hypoglycemic Agents - therapeutic use</topic><topic>Insulin - therapeutic use</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Patient Compliance</topic><topic>Patient Education as Topic</topic><topic>Quality of Life</topic><topic>Retrospective Studies</topic><topic>Socioeconomic Factors</topic><topic>Time Factors</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Vertebrates: endocrinology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gomes, M. B.</creatorcontrib><creatorcontrib>Tannus, L. R. M.</creatorcontrib><creatorcontrib>Cobas, R. A.</creatorcontrib><creatorcontrib>Matheus, A. S. M.</creatorcontrib><creatorcontrib>Dualib, P.</creatorcontrib><creatorcontrib>Zucatti, A. T.</creatorcontrib><creatorcontrib>Cani, C.</creatorcontrib><creatorcontrib>Guedes, A. D.</creatorcontrib><creatorcontrib>Santos, F. M.</creatorcontrib><creatorcontrib>Sepulveda, J.</creatorcontrib><creatorcontrib>Tolentino, M.</creatorcontrib><creatorcontrib>Façanha, M. C.</creatorcontrib><creatorcontrib>Faria, A. C. R. A.</creatorcontrib><creatorcontrib>Lavigne, S.</creatorcontrib><creatorcontrib>Montenegro, A. P.</creatorcontrib><creatorcontrib>Rodacki, M.</creatorcontrib><creatorcontrib>de Fatima Guedes, M.</creatorcontrib><creatorcontrib>Szundy, R.</creatorcontrib><creatorcontrib>Cordeiro, M. M.</creatorcontrib><creatorcontrib>Santos, P. T. S.</creatorcontrib><creatorcontrib>Negrato, C. A.</creatorcontrib><creatorcontrib>Brazilian Type 1 Diabetes Study Group (BrazDiab1SG)</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Diabetic medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gomes, M. B.</au><au>Tannus, L. R. M.</au><au>Cobas, R. A.</au><au>Matheus, A. S. M.</au><au>Dualib, P.</au><au>Zucatti, A. T.</au><au>Cani, C.</au><au>Guedes, A. D.</au><au>Santos, F. M.</au><au>Sepulveda, J.</au><au>Tolentino, M.</au><au>Façanha, M. C.</au><au>Faria, A. C. R. A.</au><au>Lavigne, S.</au><au>Montenegro, A. P.</au><au>Rodacki, M.</au><au>de Fatima Guedes, M.</au><au>Szundy, R.</au><au>Cordeiro, M. M.</au><au>Santos, P. T. S.</au><au>Negrato, C. A.</au><aucorp>Brazilian Type 1 Diabetes Study Group (BrazDiab1SG)</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Determinants of self-monitoring of blood glucose in patients with Type 1 diabetes: a multi-centre study in Brazil</atitle><jtitle>Diabetic medicine</jtitle><addtitle>Diabet. Med</addtitle><date>2013-10</date><risdate>2013</risdate><volume>30</volume><issue>10</issue><spage>1255</spage><epage>1262</epage><pages>1255-1262</pages><issn>0742-3071</issn><eissn>1464-5491</eissn><coden>DIMEEV</coden><abstract>Aim
The aim of this study was to determine the relationship between the daily frequency of self‐monitoring of blood glucose and glycaemic control, demographic and socio‐economic status in patients with Type 1 diabetes under routine clinical care in Brazil.
Methods
This was a cross‐sectional, multi‐centre study conducted between December 2008 and December 2010 in 28 public clinics in 20 Brazilian cities. The data were obtained from 3176 patients, aged 22 ± 11.8 years, of whom 56.3% were female and 57.4% were Caucasian. The mean time since diabetes diagnosis was 11.7 ± 8.1 years.
Results
The prevalence of self‐monitoring of blood glucose was 88.5%. There was a significant increase in self‐monitoring frequency associated with female gender, lower ages, more intensive diabetes management and higher socio‐economic status. A correlation between HbA1c levels and the daily frequency of self‐monitoring was observed (rs = –0.13; P = 0.001). The mean HbA1c levels were related to the daily frequency of self‐monitoring (P < 0.001) without additional benefit to patients who performed self‐monitoring more than four times daily (9.2, 11.2, 10.2,15.2 and 15% for one, two, three, four, five or more self‐monitoring tests daily, respectively; P < 0.0001).
Conclusions
The majority of our patients (88.5%) performed three or more self‐monitoring tests daily, with more frequent testing reported by females, younger patients, those on intensive insulin regimens and of higher socio‐economic status. No additional benefit was found in patients who performed self‐monitoring more than four times daily. The diabetes care team must improve patients' education regarding self‐monitoring of blood glucose and its benefits.</abstract><cop>Oxford</cop><pub>Blackwell Publishing Ltd</pub><pmid>23721292</pmid><doi>10.1111/dme.12236</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0742-3071 |
| ispartof | Diabetic medicine, 2013-10, Vol.30 (10), p.1255-1262 |
| issn | 0742-3071 1464-5491 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1449761006 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adolescent Adult Analysis of Variance Biological and medical sciences Blood Glucose - metabolism Blood Glucose Self-Monitoring Brazil - epidemiology Cross-Sectional Studies Diabetes Diabetes Mellitus, Type 1 - blood Diabetes Mellitus, Type 1 - drug therapy Diabetes Mellitus, Type 1 - epidemiology Diabetes. Impaired glucose tolerance Endocrine pancreas. Apud cells (diseases) Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance Feeding. Feeding behavior Female Follow-Up Studies Fundamental and applied biological sciences. Psychology Glycated Hemoglobin A - metabolism Humans Hypoglycemic Agents - therapeutic use Insulin - therapeutic use Male Medical sciences Patient Compliance Patient Education as Topic Quality of Life Retrospective Studies Socioeconomic Factors Time Factors Vertebrates: anatomy and physiology, studies on body, several organs or systems Vertebrates: endocrinology |
| title | Determinants of self-monitoring of blood glucose in patients with Type 1 diabetes: a multi-centre study in Brazil |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-02T13%3A32%3A25IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Determinants%20of%20self-monitoring%20of%20blood%20glucose%20in%20patients%20with%20Type%C2%A01%20diabetes:%20a%20multi-centre%20study%20in%20Brazil&rft.jtitle=Diabetic%20medicine&rft.au=Gomes,%20M.%20B.&rft.aucorp=Brazilian%20Type%201%20Diabetes%20Study%20Group%20(BrazDiab1SG)&rft.date=2013-10&rft.volume=30&rft.issue=10&rft.spage=1255&rft.epage=1262&rft.pages=1255-1262&rft.issn=0742-3071&rft.eissn=1464-5491&rft.coden=DIMEEV&rft_id=info:doi/10.1111/dme.12236&rft_dat=%3Cproquest_cross%3E3083458121%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1437200840&rft_id=info:pmid/23721292&rfr_iscdi=true |