Impact of Non-Computerized Home Blood Glucose Monitoring Program on Glycemic Control of Saudi Patients with Type 2 Diabetes Mellitus
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- Category: Vol. 80, December 2012
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Impact of Non-Computerized Home Blood Glucose Monitoring Program on Glycemic Control of Saudi Patients with Type 2 Diabetes Mellitus,ABDULLAH A. KHAWAJI
Abstract
Objective: To assess the impact of home blood glucose monitoring program (HBGMP) on glycemic control of type 2 diabetic patients.
Research Design and Methods: This study included 222 diabetic patients. Data were collected at baseline, 3, 6 and 12 months.
Results: There was a progressive improvement in HbA1c levels from start of the HBGMP till one year later (p<0.001). About half of participants practiced self blood glucose mon-itoring (SMBG) as once/day at 3, 6 and 12 months. There were increasing numbers of patients practicing SBGM only once/day on alternate weeks across the steps of HBGMP and a decreasing numbers of patients practicing SMBG 3 times/day across the steps of HBGMP (20.27%, 13.96% and 11.26%, respectively). Frequency of management by oral hypoglyc-emics and insulin gradually and decreased across the study period. Combined oral hypoglycemic and insulin treatment gradually increased (p<0.001). A progressive and significant improvement in the levels of HbA1c from start of the HBGMP till the end of one year later in all patients treated with different treatment modalities (p<0.001). There were significant differ-ences among patients according to their treatment modality. Patients with worst HbA1c were kept on combined oral hypoglycemic and insulin treatment.
Conclusions: HBGMP is effective in improving diabetes control among adult type 2 diabetics. HBGMP helps the treating physician to closely and interactively adjust the prescribed treatment modalities in order to effectively control blood glucose levels and it is more effective among older diabetic patients and those with more duration of disease.