Evidence of patient self-testing at clinic review: Association with glycaemic control

Martin B. Whyte*, Chris Manu, David Hopkins, Stephen Thomas

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Aims: Home glucose testing and reflection on patterns are important elements of type 1 diabetes self-management. We hypothesised that patients who demonstrated evidence of self-testing by bringing a record book (capillary blood glucose monitoring diary) to clinic would have better glycaemic control than patients with a glucometer alone, or neither record book nor glucometer. Methods: This was a prospective observational study of 233 consecutive type 1 diabetes patients using basal-bolus insulin. Exclusion criteria were diagnosis of type 1 diabetes within the previous year, current pregnancy, or prior inclusion in this study. We recorded the presence or absence of a record book or glucometer at the clinic, glycated haemoglobin (HbA1c), and previous structured education attendance. Results: Of 233 patients, 90 brought a record book, 61 brought a glucometer and 82 brought neither. Mean HbA1c did not differ between patients with a record book (63 ± 2 mmol/mol [7.9 ± 0.2%]) or glucometer (63 ± 2 mmol/mol [7.9 ± 0.2%]), but was higher in those with neither (77 ± 2 mmol/mol [9.2±0.2%]; p1c did not differ between patients bringing a record book or glucometer. Self-reflection on glucose results is important for type 1 diabetes self-management, irrespective of the recording method used.

Original languageEnglish
Pages (from-to)75-77
Number of pages3
JournalBritish Journal of Diabetes and Vascular Disease
Volume15
Issue number2
DOIs
Publication statusPublished - 2015

Keywords

  • Glucose meter
  • Glycated haemoglobin
  • Self-monitoring
  • Structured education
  • Type 1 diabetes

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