Krishnan V, Thirunavukkarasu J
Assistant Professor, Department of Pharmacology, Saveetha Medical College , Chennai, India .
Professor, Department of Pharmacology, Saveetha Medical College , Chennai, India .
J Clin Diagn Res. 2016 Mar;10(3):FC09-11. doi: 10.7860/JCDR/2016/18387.7396. Epub 2016 Mar 1.
Self blood glucose monitoring is an important context of self care in the management of diabetes mellitus. All the guidelines must be followed while performing self blood glucose monitoring and tracking of values is essential to facilitate the physician while titrating the drugs and /or doses of anti diabetes medication. Self titration by patients following self monitoring must be discouraged.
To assess the knowledge and practice of self blood glucose monitoring among diabetes patients and extent of self titration of anti diabetes medicines among diabetes patients based on self blood glucose monitoring.
This pilot, cross-sectional, observational study was conducted using a validated questionnaire among adult male and female diabetes patients performing self blood glucose monitoring at home. Diabetes patients with complications and juvenile diabetes patients were excluded.
Out of 153 patients surveyed, only 37 (24.1%) (20 males, 17 females) patients were aware and have been following self blood glucose monitoring appropriately. About 116 (75.8%) (64 males, 52 females) of patients were devoid of adequate knowledge and did not practice self blood glucose monitoring in a proper way. Ninety eight (64.05%) accepted that they self titrate their anti diabetic medicines based on self monitoring.
Self monitoring of blood glucose should be encouraged and patients should be taught importance of following correct steps and tracking of self monitoring by physician or diabetes educator.
自我血糖监测是糖尿病管理中自我护理的重要内容。在进行自我血糖监测时必须遵循所有指南,记录监测值对于医生调整降糖药物的种类和/或剂量至关重要。应避免患者根据自我监测结果自行调整用药。
评估糖尿病患者自我血糖监测的知识和实践情况,以及基于自我血糖监测的糖尿病患者自行调整降糖药物的程度。
本试点横断面观察性研究采用经过验证的问卷,对在家中进行自我血糖监测的成年糖尿病患者(包括男性和女性)进行调查。排除有并发症的糖尿病患者和青少年糖尿病患者。
在153名接受调查的患者中,只有37名(24.1%)(20名男性,17名女性)患者了解并正确进行自我血糖监测。约116名(75.8%)(64名男性,52名女性)患者缺乏足够的知识,没有以正确的方式进行自我血糖监测。98名(64.05%)患者承认他们根据自我监测自行调整降糖药物。
应鼓励患者进行自我血糖监测,并且应由医生或糖尿病教育者向患者传授遵循正确步骤及记录自我监测结果的重要性。