Vidal Flor Mercè, Jansà Morató Margarita, Galindo Rubio Mercedes, Penalba Martínez Maite
Servicio de Endocrinología y Nutrición, Unidad de Diabetes, Hospital Clínic i Provincial de Barcelona, Barcelona, España.
Servicio de Endocrinología y Nutrición, Unidad de Diabetes, Hospital Clínic i Provincial de Barcelona, Barcelona, España.
Endocrinol Diabetes Nutr (Engl Ed). 2018 Feb;65(2):99-106. doi: 10.1016/j.endinu.2017.10.005. Epub 2017 Dec 15.
To assess adherence to self-monitoring of blood glucose and the main factors associated with it, particularly those related to self-perception of glycemia, in patients with diabetes on insulin therapy.
An epidemiological, observational, prospective, multicenter study conducted in standard clinical practice in primary care, outpatient centers, and hospitals from different Spanish regions. Sociodemographic, clinical and treatment data were collected. Patients were considered adherent to self-monitoring if they performed the minimum number of controls recommended by the Spanish Society of Diabetes (SED).
Adherence was shown in 61.6% of patients. Factors associated to adherence included treatment with less than three insulin injections daily (OR 2.678; 95% CI 2.048- 3.5029; p <0.001), presence of peripheral vascular disease (OR 1.529; 95% CI 1.077 - 2.171; p=0.018), alcohol abstinence (OR 1.442; 95% CI 1.118 - 1.858; p=0.005), and collection of the glucose test strips from the pharmacy (OR 1.275; 95% CI 1.026 - 1.584; p=0.028). Adequate self-perception of glycemia was found in 21.4% of patients.
Our results show a suboptimal adherence to the recommended protocol for blood glucose self-monitoring in patients with diabetes on insulin therapy. Independent variables associated to good adherence were treatment with less than three insulin injections dailyu, presence of peripheral vascular disease, alcohol abstinence, and collection of glucose test strips from the pharmacy.
评估接受胰岛素治疗的糖尿病患者对血糖自我监测的依从性及其相关主要因素，尤其是与血糖自我认知相关的因素。
一项在西班牙不同地区的初级保健机构、门诊中心和医院的标准临床实践中开展的流行病学、观察性、前瞻性多中心研究。收集社会人口学、临床和治疗数据。如果患者进行了西班牙糖尿病学会（SED）推荐的最少次数的血糖监测，则认为其依从血糖自我监测。
61.6%的患者表现出依从性。与依从性相关的因素包括每日胰岛素注射次数少于3次（比值比[OR]2.678；95%置信区间[CI]2.048 - 3.5029；p<0.001）、存在外周血管疾病（OR 1.529；95% CI 1.077 - 2.171；p = 0.018）、戒酒（OR 1.442；95% CI 1.118 - 1.858；p = 0.005）以及从药房领取血糖试纸（OR 1.275；95% CI 1.026 - 1.584；p = 0.028）。21.4%的患者血糖自我认知良好。
我们的结果表明，接受胰岛素治疗的糖尿病患者对推荐的血糖自我监测方案的依从性欠佳。与良好依从性相关的独立变量包括每日胰岛素注射次数少于3次、存在外周血管疾病、戒酒以及从药房领取血糖试纸。
