Please use this identifier to cite or link to this item:
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Frequency of blood glucose monitoring in relation to glycaemic control: observational study with diabetes database
Author(s): Evans, Josie
Newton, Ray W
Ruta, Danny A
MacDonald, Thomas M
Stevenson, Richard J
Morris, Andrew D
Contact Email:
Issue Date: 10-Jul-1999
Date Deposited: 3-Sep-2012
Citation: Evans J, Newton RW, Ruta DA, MacDonald TM, Stevenson RJ & Morris AD (1999) Frequency of blood glucose monitoring in relation to glycaemic control: observational study with diabetes database. BMJ, 319 (7202), pp. 83-86.
Abstract: Objectives: To investigate patterns of self monitoring of blood glucose concentration in diabetic patients who use insulin and to determine whether frequency of self monitoring is related to glycaemic control. Setting: Diabetes database, Tayside, Scotland. Subjects: Patients resident in Tayside in 1993­-5 who were using insulin and were registered on the database and diagnosed with insulin dependent (type 1) or non­insulin dependent (type 2) diabetes before 1993. Main outcome measures: Number of glucose monitoring reagent strips dispensed (reagent strip uptake) derived from records of prescriptions. First recorded haemoglobin A1c concentration in the study period, and reagent strips dispensed in the previous 6 months. Results: Among 807 patients with type 1 diabetes, 128 (16%) did not redeem any prescriptions for glucose monitoring reagent strips in the 3 year study period. Only 161 (20%) redeemed prescriptions for enough reagent strips to test glucose daily. The corresponding figures for the 790 patients with type 2 diabetes who used insulin were 162 (21%; no strips) and 131 (17%; daily tests). Reagent strip uptake was influenced both by age and by deprivation category. There was a direct relation between uptake and glycaemic control for 258 patients (with recorded haemoglobin A1c concentrations) with type 1 diabetes. In a linear regression model the decrease in haemoglobin A1c concentration for every extra 180 reagent strips dispensed was 0.7%. For the 290 patients with type 2 diabetes who used insulin there was no such relation. Conclusions: Self monitoring of blood glucose concentration is associated with improved glycaemic control in patients with type 1 diabetes. Regular self monitoring in patients with type 1 and type 2 diabetes is uncommon.
DOI Link: 10.1136/bmj.319.7202.83
Rights: Publisher policy allows this work to be made available in this repository. Published in BMJ by BMJ Publishing Group, copyright 1999. The original publication is available at

Files in This Item:
File Description SizeFormat 
Evans_1999_Frequency_of_blood_glucose_monitoring.pdfFulltext - Published Version266.87 kBAdobe PDFView/Open

This item is protected by original copyright

Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

The metadata of the records in the Repository are available under the CC0 public domain dedication: No Rights Reserved

If you believe that any material held in STORRE infringes copyright, please contact providing details and we will remove the Work from public display in STORRE and investigate your claim.