Hansen M V, Pedersen-Bjergaard U, Heller S R, Wallace T M, Rasmussen A K, Jørgensen H V, Pramming S, Thorsteinsson B
Department of Cardiology and Endocrinology, Hillerød Hospital, Hillerød, Denmark.
Diabetes Res Clin Pract. 2009 Aug;85(2):183-8. doi: 10.1016/j.diabres.2009.04.022. Epub 2009 Jun 3.
Recommendations for self-monitoring of blood glucose (SMBG) from the DCCT have not been implemented with the same rigour as recommendations for intensifying insulin therapy. We assessed the frequency of and motives for SMBG and compared SMBG behaviour with clinical, behavioural and demographic characteristics.
Cross-sectional Danish-British multicentre survey of 1076 consecutive patients with type 1 diabetes, who completed a detailed questionnaire on SMBG and related issues. The key variables were test frequency and motive.
SMBG was performed daily by 39% of the patients and less than weekly by 24%. Sixty-seven percent reported to perform routine testing, while the remaining 33% only tested when hypo- or hyperglycaemia was suspected. Age, gender, and level of diabetes-related concern were associated with test pattern. Reported frequencies of mild and severe hypoglycaemia and awareness of hypoglycaemia were independently associated with testing behaviour, whereas the presence of late diabetic complications was not. Lower HbA1c was associated with more frequent testing.
Patient compliance regarding SMBG is limited. Thus, almost two thirds of the patients do not perform daily SMBG and one third do not perform routine tests.
糖尿病控制与并发症试验（DCCT）中关于血糖自我监测（SMBG）的建议，在执行时的严格程度不及强化胰岛素治疗的建议。我们评估了SMBG的频率及动机，并将SMBG行为与临床、行为及人口统计学特征进行比较。
对1076例1型糖尿病患者进行丹麦-英国多中心横断面调查，这些患者完成了一份关于SMBG及相关问题的详细问卷。关键变量为检测频率和动机。
39%的患者每天进行SMBG，24%的患者每周进行SMBG的次数不到一次。67%的患者报告进行常规检测，其余33%仅在怀疑有低血糖或高血糖时才进行检测。年龄、性别及糖尿病相关关注度与检测模式相关。报告的轻度和严重低血糖发生频率及对低血糖的认知与检测行为独立相关，而糖尿病晚期并发症的存在则与之无关。糖化血红蛋白（HbA1c）水平较低与更频繁的检测相关。
患者在SMBG方面的依从性有限。因此，近三分之二的患者并非每天进行SMBG，三分之一的患者不进行常规检测。
