The Status Of Self-glycemic Monitoring And The Role Of Blood Glucose Monitoring In Diabetes Management

ObjectiveUnderstand the current status of self-glycemic monitoring and related factors affecting blood glucose monitoring,explore the role of blood glucose monitoring in diabetes management,and provide a theoretical basis for the prevention and treatment of diabetes.MethodsDuring the period from August to December 2017,a questionnaire survey was conducted among diabetic patients who were admitted to the Sixth People’s Hospital of Shanghai from the age of 20 to 80.A total of 1000 questionnaires were distributed and 987 copies were collected.The frequency of blood glucose monitoring and the feedback form of hyperglycemia were analyzed.The subjects were divided into group1(blood glucose monitoring at least once a day)and group 2(blood glucose monitoring at most twice a week)according to the frequency of blood glucose monitoring.Recruited 541 diabetic volunteers from the Shanghai nicheng community over the age of 40.From April 2014,we conducted a one-year community free blood glucose monitoring management and collected clinical and laboratory related data.The effects of blood glucose monitoring on blood glucose,blood lipids and blood pressure compliance rate were analyzed,and regression analysis was performed on the influencing factors.ResultsThe frequency of SMBG in diabetic patients in Shanghai is relatively low as only34.2% patients take SMBG at least once a day while 65.8% patients take SMBG at most once a week.Majority patients cope with not optimistic SMBG results such ashyperglycemia through strengthening exercise(38.9%)or adjusting diet(38.1%)rather than drug regulation(7.7%).Multivariate logistic regression analysis showed that the frequency of SMBG was low in elderly patients,those with unsatisfactory glycosylated hemoglobin,lower educational level,shorter duration of diabetes mellitus,and those with oral hypoglycemic drugs only(P < 0.05).Compared with the laboratory indicators of FPG,2hPG,HbA(%),HOMA-IR,WC,SBP,DBP,TG,LDL-C before and after management,it was found to have decreased.The compliance rate of glycated hemoglobin,blood pressure and blood lipids were significantly increased(P<0.05).Low blood glucose compliance rates in diabetic patients are associated with lack of exercise and diet control,low blood glucose monitoring frequency,high SBP and TG levels;Low blood pressure compliance rate was associated with older age,hyperglycemia and triglyceride levels;low blood lipid compliance rate was associated with lack of exercise and regular medication,and low blood glucose monitoring frequency(P<0.05).ConclusionThe status of blood glucose monitoring in diabetic patients in Shanghai is not optimistic relative to foreign countries,the monitoring frequency is low and there is a lack of timely guidance from professionals.Blood glucose monitoring is beneficial for glycemic control in patients with type 2 diabetes.Therefore,patients should be aware of the importance of blood glucose monitoring and thus improve blood glucose management.