Raoufi Abdul Marouf, Tang Xue, Jing Zhengyue, Zhang Xinyi, Xu Qiongqiong, Zhou Chengchao
School of Public Health, Shandong University, Jinan, 250012, China.
School of Public Health, Key Lab of Health Economics and Policy Research, Shandong University, Jinan, 250012, China.
Diabetes Ther. 2018 Oct;9(5):2055-2066. doi: 10.1007/s13300-018-0499-9. Epub 2018 Sep 11.
The aim of this study was to explore the status of blood glucose monitoring and its determinants in diabetic patients in Shandong Province, China.
This was a cross-sectional survey conducted from 31 August to 12 October 12, in Shandong Province. A multi-stage stratified cluster sampling method was used to select participants. A total of 2183 diabetic patients were included in the analysis. Frequencies and proportions were used to describe the data, and multiple binary logistic regressions were performed to determine factors associated with blood glucose monitoring.
Of the participants, 51.4% tested their blood glucose level more than once a month. The multivariate logistic regression model showed that seven variables were significantly associated with the frequency of blood glucose monitoring: education level, residence, household income, self-reported health, physical examination, anti-diabetic drug or insulin injection, and comorbidity.
The level of blood glucose monitoring among diabetic patients in Shandong Province is low. Based on these results we recommend that the cost of blood glucose monitoring by professionals in laboratories be reimbursed or at least reduced and that diabetic patients be encouraged to undergo regular physical examinations.
本研究旨在探讨中国山东省糖尿病患者血糖监测状况及其影响因素。
这是一项于8月31日至10月12日在山东省进行的横断面调查。采用多阶段分层整群抽样方法选取参与者。共有2183名糖尿病患者纳入分析。使用频率和比例描述数据，并进行多重二元逻辑回归以确定与血糖监测相关的因素。
参与者中，51.4%每月检测血糖水平超过一次。多变量逻辑回归模型显示，七个变量与血糖监测频率显著相关：教育程度、居住地、家庭收入、自我报告的健康状况、体检、抗糖尿病药物或胰岛素注射以及合并症。
山东省糖尿病患者的血糖监测水平较低。基于这些结果，我们建议报销或至少降低实验室专业人员进行血糖监测的费用，并鼓励糖尿病患者定期进行体检。
