Hay Heather, Hernández-Muñoz José J, Joshaghani Mitra
Department of Pharmacy Practice, Texas A&M University Irma Lerma Rangel College of Pharmacy and Baylor Scott and White Health, Round Rock, Texas.
Department of Pharmaceutical Science, Texas A&M University Irma Lerma Rangel College of Pharmacy, College Station, Texas.
Proc (Bayl Univ Med Cent). 2022 Apr 7;35(4):437-440. doi: 10.1080/08998280.2022.2057056. eCollection 2022.
The value of self-monitoring blood glucose (SMBG) in patients with non-insulin-treated type 2 diabetes (NITT2DM) has been debated; however, the practice remains common. Patient perception of SMBG has been documented in several qualitative studies. However, the literature is lacking on the perceived value of SMBG by providers. This study used a structured questionnaire to evaluate and compare the perceived value, recommended frequency, and utility of SMBG in patients with NITT2DM by primary care providers (PCPs) and endocrinologists. A total of 70 PCPs and 14 endocrinologists completed the questionnaire. The results suggest that PCPs and endocrinologists find the practice of SMBG valuable in NITT2DM and believe it promotes behavioral changes in their patients. However, endocrinologists tend to recommend more frequent SMBG and find SMBG values more useful in making medication decisions. Conversely, PCPs tend to find the hemoglobin A1c more valuable than SMBG in making medication adjustments.
非胰岛素治疗的2型糖尿病（NITT2DM）患者自我血糖监测（SMBG）的价值一直存在争议；然而，这种做法仍然很普遍。在几项定性研究中记录了患者对SMBG的看法。然而，关于医疗服务提供者对SMBG感知价值的文献却很缺乏。本研究使用结构化问卷来评估和比较初级保健提供者（PCP）和内分泌学家对NITT2DM患者SMBG的感知价值、推荐频率和效用。共有70名PCP和14名内分泌学家完成了问卷。结果表明，PCP和内分泌学家发现SMBG在NITT2DM中的做法很有价值，并认为它能促进患者的行为改变。然而，内分泌学家倾向于推荐更频繁的SMBG，并发现SMBG值在做出用药决策时更有用。相反，PCP在进行药物调整时往往认为糖化血红蛋白比SMBG更有价值。
