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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Self-monitoring among non-insulin treated patients with type 2 diabetes mellitus: Patients' behavioural responses to readings and associations with glycaemic control
Authors: Evans, Josie
Mackison, Dionne
Swanson, Vivien
Donnan, Peter T
Emslie-Smith, Alistair M
Lawton, Julia
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Keywords: Type 2 diabetes
Blood glucose monitoring
Glycaemic control
Issue Date: May-2013
Publisher: Elsevier
Citation: Evans J, Mackison D, Swanson V, Donnan PT, Emslie-Smith AM & Lawton J (2013) Self-monitoring among non-insulin treated patients with type 2 diabetes mellitus: Patients' behavioural responses to readings and associations with glycaemic control, Diabetes Research and Clinical Practice, 100 (2), pp. 235-242.
Abstract: Aim: To investigate self-monitoring of blood glucose (SMBG) behaviour among non-insulin treated patients with type 2 diabetes mellitus, and to evaluate associations with glycaemic control. Methods: Eligible patients in 23 GP practices in Tayside, Scotland, were identified (18-75 years, no insulin treatment, SMBG reagent strips dispensed in 2009). Consenting patients were administered questionnaires addressing SMBG behavior: these primary data were record-linked to clinical data (including HbA1c) from a validated population-based diabetes clinical information system, then anonymised. Results: Among 629 eligible patients, 207 were interviewed and analysed. Mean SMBG reagent strips dispensed in 12 months was 268. Eighty (38.8%) patients took no action in response to perceived high test results, or simply checked later. Most (61.3%) did not know what action to take. 126 (61.2%) patients took action, including dietary (n=101), physical activity (n=12) or medication (n=10) changes, or making a HCP appointment (n=12). High score on a Diabetes Knowledge Test was a statistically significant predictor of taking action (odds ratio: 2.07). However, neither taking action nor increased SMBG frequency were associated with improved glycaemic control. Conclusions: Responding to SMBG test results and increased testing frequency were not associated with improved glycaemic control in the short-term. There is a lack of knowledge surrounding SMBG in non-insulin treated patients.
Type: Journal Article
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Rights: Published in Diabetes Research and Clinical Practice by Elsevier; Elsevier believes that individual authors should be able to distribute their accepted author manuscripts for their personal voluntary needs and interests, e.g. posting to their websites or their institution’s repository, e-mailing to colleagues. The Elsevier Policy is as follows: Authors retain the right to use the accepted author manuscript for personal use, internal institutional use and for permitted scholarly posting provided that these are not for purposes of commercial use or systematic distribution. An "accepted author manuscript" is the author’s version of the manuscript of an article that has been accepted for publication and which may include any author-incorporated changes suggested through the processes of submission processing, peer review, and editor-author communications.
Affiliation: HS Research - Stirling
HS Research - Stirling
University of Dundee
Arthurstone Medical Centre
University of Edinburgh

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