Current Situation and Influencing Factors of Self-Monitoring of Blood Glucose in Type 2 Diabetic Patients in Sichuan Province_Chinese Journal of Evidence-Based Medicine

Authors：

XIONG Zhenzhen ¹ ,  YUAN Li ¹ , YE Ziwei ¹ , NI Xiumei ¹ , YANG Jing ¹ , LIU Man ² , ZHANG Yongqiong ³ , LI Cheqiong ⁴ , ZHU Ruirong ⁵

1. Department of Endocrinology, West China Hospital, Sichuan University, Chengdu 610041, China;2. The 416 Hospital of Chengdu, Chengdu 610051, China;3. The First People’s Hospital of Neijiang, Chengdu 641000, China;4. The People’s Hospital of Ya’an, Chengdu 625000, China;5. The Third People’s Hospital of Chengdu, Chengdu 610031, China;

Corresponding author：

YUAN Li, Email: yuanli1963@yahoo.com.cn

Keywords：

Type 2 diabetes mellitus; Self-monitoring of blood glucose; Influencing factor

DOI：

10.7507/1672-2531.20130049

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Objective 　To investigate the current situation of self-monitoring of blood glucose (SMBG) in patients with type 2 diabetes mellitus (T2DM) in Sichuan province, and to analyze the influencing factors of SMBG, so as to provide evidence for improving the level of SMBG.
Methods 　By the convenience sampling method, 410 patients with T2DM for more than 1 year were selected from 17 hospitals and community health service centers in 7 cities across Sichuan province, and their SMBG was investigated with a questionnaire.
Results 　Among 410 eligible patients, the average frequency of SMBG was 7.3 times per month. There were 268 patients (65.4%) performed SMBG less than 4 times per month, 94 (22.9%) performed 4-15 times per month, 29 (7.1%) performed 6-29 times per month, and 19 (4.6%) performed over 30 times per month. Just 234 patients (57.1%) monitored the HbA1c in the past 6 months. FPG, 2-hour PPG and HbA1c were negatively correlated with the frequency of SMBG. The influencing factors of SMBG were insulin treatment and education.
Conlusion 　The SMBG status in D2TM patients is relatively poor in Sichuan province, and the compliance of SMBG is expected to be improved by enhancing diabetic education.

Citation： XIONG Zhenzhen,YUAN Li,YE Ziwei,NI Xiumei,YANG Jing,LIU Man,ZHANG Yongqiong,LI Cheqiong,ZHU Ruirong. Current Situation and Influencing Factors of Self-Monitoring of Blood Glucose in Type 2 Diabetic Patients in Sichuan Province. Chinese Journal of Evidence-Based Medicine, 2013, 13(3): 281-285. doi: 10.7507/1672-2531.20130049 Copy

1.	Yang WY, Liu JM, Wen JP, et al. Prevalence of Diabetes among Men and Women in China . N Engl J Med, 2010, 3629(12): 1090-1011.
2.	Xu Y, Toobert D, Savage C. Factors Influencing Diabetes Self-Management in Chinese People With Type 2 Diabetes. Research in Nursing & Health, 2008, 31(6): 613-625.
3.	Alberti KG, Zimmet PZ. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. Diabet Med, 1998, 15(7), 539-553.
4.	中华医学会糖尿病学分会糖尿病护理及教育学组. 中国糖尿病护理及教育指南(2009版), 2009.
5.	Franciosi M, Pellegrini F, De Berardis G, et al. The impact of blood glucose self-monitoring on metabolic control and quality of life in type 2diabetic patients: an urgent need for better educational strategies. Diabetes Care, 2001, 24(11): 1870-1877.
6.	Schneider B, Martin S, Heinemann L, et al. Interrelations between diabetes therapy, self-monitoring of blood glucose, blood glucose and non-fatal or fatal endpoints in patients with type 2 diabetes: Results of a longitudinal cohort study (ROSSO 5). Arzneimittel- Forschung/ Drug Research, 2007, 57(12): 762-769.
7.	胡鹏, 徐蓉, 杨丹. 糖尿病病人自我血糖监测现状调查. 护理学报, 2008, 15(11): 11-13.
8.	Murata GH, Shah JH, Hoffman RM, et al. Intensified blood glucose monitoring improves glycaemic control in stable, insulin treated veterans with Type 2 diabetes: The Diabetes outcomes in Veterans Study (DOVES). Diabetes Care, 2003, 26(6): 1759-1763.
9.	Santiprabhob J, Likitmaskul S, Kiattisakthavee P, et al. Glycemic control and the psychosocial benefits gained by patients with type 1 diabetes mellitus attending the diabetes camp. Patient Educ Couns, 2008, 73(1): 60-66.
10.	Guerci B, Drouin P, Grange V, et al. Self-monitoring of blood glucose significantly improves metabolic controlin patients with type 2 diabetes mellitus: the Auto-Surveillance Intervention Active (ASIA) study. Diabetes Metabolism, 2003, 29(6): 587-594.
11.	Ulrich S, Markus S, Gabriele M. Meal-related structured self-monitoring of blood glucose: effect on diabetes control in non-insulin-treated type 2 diabetic patients. Diabetes care, 2002, 25(11), 1928-1931.
12.	Xu Y, Pan W, Liu H. Self-management practices of Chinese Americans with type2 diabetes. Nursing and Health Sciences, 2010, 12(2): 228-234.
13.	王爱民, 徐向进, 张玲, 等. 2型糖尿病患者家庭血糖监测频次与血糖控制水平对患者住院情况的影响. 中国糖尿病杂志, 2012, 20(4): 274-276.
14.	Karter AJ, Parker MM, Moffet HH, et al. Longitudinal study of new andpr evalent use of self-monitoring of blood glucose. Diabetes Care, 2006, 29: 1757-1763.
15.	Pan L, Mukhtar Q, Geiss LS, et al. Self-monitoring of blood glucose among adults with diabetes-United States, 1997-2006. Morbidity and Mortality Weekly Report, 2007, 56(43): 1133-1137.
16.	王椿, 喻红玲, 梁荩忠, 等. 糖尿病教育对2型糖尿病患者血糖控制的影响. 中国循证医学杂志, 2004, 4(7): 508-511.
17.	魏花萍, 田金徽, 张玲, 等. 中国护理干预对糖尿病患者从医行为影响的Meta分析. 中国循证医学杂志, 2008, 8(5): 328-333.
18.	Norris SL, Gelgau EMM, Narayan KM. Effectiveness of self management training in type 2 diabetes: a systematic review of randomized controlled trials. Diabetes Care, 2001, 24(3): 561-587.
19.	Aydin H, Deyneli O, Yavuz D, et al. Does the frequency of the self-monitoring of blood glucose influence glycemic control in type 2 diabetic patients? Marmara Med J, 2005, 18(1): 13-16.
20.	阚凯, 卢逢娣, 朱玮. 老年糖尿病病人自我血糖监测状况及相关因素分析. 上海护理, 2010, 10(2): 45-47.
21.	Karter AJ, Ferrara A, Darbinian JA, et al. Self monitoring of blood glucose: Language and financial barriers in a managed care population with diabetes. Diabetes Care, 2000, 23(4): 477-483.
22.	Adams AS, Mah C, Soumerai SB, et al. Barriers to self-monitoring of blood glucose among adults with diabetes in an HMO: A cross sectional study. BMC Health Services Research, 2003, 3(1): 6.

1. Yang WY, Liu JM, Wen JP, et al. Prevalence of Diabetes among Men and Women in China . N Engl J Med, 2010, 3629(12): 1090-1011.
2. Xu Y, Toobert D, Savage C. Factors Influencing Diabetes Self-Management in Chinese People With Type 2 Diabetes. Research in Nursing & Health, 2008, 31(6): 613-625.
3. Alberti KG, Zimmet PZ. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. Diabet Med, 1998, 15(7), 539-553.
4. 中华医学会糖尿病学分会糖尿病护理及教育学组. 中国糖尿病护理及教育指南(2009版), 2009.
5. Franciosi M, Pellegrini F, De Berardis G, et al. The impact of blood glucose self-monitoring on metabolic control and quality of life in type 2diabetic patients: an urgent need for better educational strategies. Diabetes Care, 2001, 24(11): 1870-1877.
6. Schneider B, Martin S, Heinemann L, et al. Interrelations between diabetes therapy, self-monitoring of blood glucose, blood glucose and non-fatal or fatal endpoints in patients with type 2 diabetes: Results of a longitudinal cohort study (ROSSO 5). Arzneimittel- Forschung/ Drug Research, 2007, 57(12): 762-769.
7. 胡鹏, 徐蓉, 杨丹. 糖尿病病人自我血糖监测现状调查. 护理学报, 2008, 15(11): 11-13.
8. Murata GH, Shah JH, Hoffman RM, et al. Intensified blood glucose monitoring improves glycaemic control in stable, insulin treated veterans with Type 2 diabetes: The Diabetes outcomes in Veterans Study (DOVES). Diabetes Care, 2003, 26(6): 1759-1763.
9. Santiprabhob J, Likitmaskul S, Kiattisakthavee P, et al. Glycemic control and the psychosocial benefits gained by patients with type 1 diabetes mellitus attending the diabetes camp. Patient Educ Couns, 2008, 73(1): 60-66.
10. Guerci B, Drouin P, Grange V, et al. Self-monitoring of blood glucose significantly improves metabolic controlin patients with type 2 diabetes mellitus: the Auto-Surveillance Intervention Active (ASIA) study. Diabetes Metabolism, 2003, 29(6): 587-594.
11. Ulrich S, Markus S, Gabriele M. Meal-related structured self-monitoring of blood glucose: effect on diabetes control in non-insulin-treated type 2 diabetic patients. Diabetes care, 2002, 25(11), 1928-1931.
12. Xu Y, Pan W, Liu H. Self-management practices of Chinese Americans with type2 diabetes. Nursing and Health Sciences, 2010, 12(2): 228-234.
13. 王爱民, 徐向进, 张玲, 等. 2型糖尿病患者家庭血糖监测频次与血糖控制水平对患者住院情况的影响. 中国糖尿病杂志, 2012, 20(4): 274-276.
14. Karter AJ, Parker MM, Moffet HH, et al. Longitudinal study of new andpr evalent use of self-monitoring of blood glucose. Diabetes Care, 2006, 29: 1757-1763.
15. Pan L, Mukhtar Q, Geiss LS, et al. Self-monitoring of blood glucose among adults with diabetes-United States, 1997-2006. Morbidity and Mortality Weekly Report, 2007, 56(43): 1133-1137.
16. 王椿, 喻红玲, 梁荩忠, 等. 糖尿病教育对2型糖尿病患者血糖控制的影响. 中国循证医学杂志, 2004, 4(7): 508-511.
17. 魏花萍, 田金徽, 张玲, 等. 中国护理干预对糖尿病患者从医行为影响的Meta分析. 中国循证医学杂志, 2008, 8(5): 328-333.
18. Norris SL, Gelgau EMM, Narayan KM. Effectiveness of self management training in type 2 diabetes: a systematic review of randomized controlled trials. Diabetes Care, 2001, 24(3): 561-587.
19. Aydin H, Deyneli O, Yavuz D, et al. Does the frequency of the self-monitoring of blood glucose influence glycemic control in type 2 diabetic patients? Marmara Med J, 2005, 18(1): 13-16.
20. 阚凯, 卢逢娣, 朱玮. 老年糖尿病病人自我血糖监测状况及相关因素分析. 上海护理, 2010, 10(2): 45-47.
21. Karter AJ, Ferrara A, Darbinian JA, et al. Self monitoring of blood glucose: Language and financial barriers in a managed care population with diabetes. Diabetes Care, 2000, 23(4): 477-483.
22. Adams AS, Mah C, Soumerai SB, et al. Barriers to self-monitoring of blood glucose among adults with diabetes in an HMO: A cross sectional study. BMC Health Services Research, 2003, 3(1): 6.

Chinese Journal of Evidence-Based Medicine

Current Situation and Influencing Factors of Self-Monitoring of Blood Glucose in Type 2 Diabetic Patients in Sichuan Province

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