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ADHERENCE TO SELF-MONITORING OF BLOOD GLUCOSE AMONG TYPE 1 DIABETICS AND ITS IMPACT ON DIABETIC KE- TOACIDOSIS IN THE REAL WORLD
Author(s):
1. Muhammad Yaqoob Khan: Department of Endocrinology,Hayatabad Medical Complex,Peshawar, Pakistan
2. Faheem Ullah: Department of Endocrinology,Hayatabad Medical Complex,Peshawar, Pakistan
3. Tahir Ghaafr: Department of Endocrinology,Lady Reading Hospital, Peshawar, Pakistan
4. Ibrar Ahmed: Department of Endocrinology,Hayatabad Medical Complex,Peshawar, Pakistan
5. Khalid Usman: Department of Endocrinology,Hayatabad Medical Complex,Peshawar, Pakistan
6. Aziz Ul Hassan Aamir: Department of Endocrinology,Hayatabad Medical Complex,Peshawar, Pakistan
Abstract:
To determine the frequency of self-monitoring of blood glucose (SMBG) in type-1 diabetes mellitus (T1DM) patients, to find out factors that affect SMBGpractice and to know SMBG influence on the frequency of diabetic ketoacidosis (DKA). Methodology: Using cross sectional study design and convenience non-prob­ability sampling technique, 371 patients were interviewed regarding SMBG and factors that affect SMBG practice through a structured questionnaire in a single tertiary care center. Selected patients were having diabetes for 6 months or more and having age 10 years or above. Results: Among 371 patients, 59.3% were practicing SMBG using home glu­cometer but only 18.9% were monitoring their blood glucose level on daily basis. A sizeable proportion (37.2%) of patients stopped SMBG mainly due to fi­nancial restraints. Higher level of patient and family education as well as higher family income were independent predictors of SMBG practice. DKA frequency was significantly less (p =0.001) in SMBG adherent patients (64 per 100 patients per year) compared to non-adherent patients (92 per 100 patients per year) and was even more lower in patients who were performing multiple checks per day. Conclusion: This study has found that a significant number of patients were not performing SMBG at the recommended frequency due to financial constraints. SMBG was found useful and effective method to prevent DKA, a life threating complication of diabetes mellitus.
Page(s): 194-198
DOI: DOI not available
Published: Journal: Journal of Postgraduate Medical Institute, Volume: 33, Issue: 3, Year: 2019
Keywords:
Type 1 diabetes mellitus , Selfmonitoring of blood glucose , Diabetic ketoacidosis
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