Facilitating access to glucometer reagents increases blood glucose self-monitoring frequency and improves glycaemic control: a prospective study in insulin-treated diabetic patients

Aims  To investigate whether availability of glucometer reagents increases the frequency of self‐blood glucose monitoring (SBGM) and improves glycaemic control in diabetic patients. Methods  Sixty‐two insulin‐treated diabetic patients were randomized to two groups, matched for age, gender, education...

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Bibliographic Details
Published in:Diabetic medicine 2004-02, Vol.21 (2), p.129-135
Main Authors: Nyomba, B. L. G., Berard, L., Murphy, L. J.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Blood Glucose Self-Monitoring
diabetes mellitus
Diabetes Mellitus, Type 1 - blood
Diabetes Mellitus, Type 1 - drug therapy
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - drug therapy
Diabetes. Impaired glucose tolerance
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Female
Glycated Hemoglobin A - analysis
haemoglobin A1c
Health Services Accessibility
Humans
Hypoglycemic Agents - therapeutic use
Insulin - therapeutic use
Male
Medical sciences
Middle Aged
patient compliance
Prospective Studies
Single-Blind Method
socioeconomic factors
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Summary:Aims  To investigate whether availability of glucometer reagents increases the frequency of self‐blood glucose monitoring (SBGM) and improves glycaemic control in diabetic patients. Methods  Sixty‐two insulin‐treated diabetic patients were randomized to two groups, matched for age, gender, education, income, type and duration of diabetes, years of insulin treatment, number of daily insulin injections, and haemoglobin (Hb)A1c. All patients were given a glucometer, but one group (no cost, NC) was provided glucometer test strips free of charge. The other group (control, C) had to purchase strips as they found it necessary. Both groups of patients were followed longitudinally at 2‐monthly intervals for 12 months with measurement of blood glucose and HbA1c, and the frequency of SBGM was determined by downloading the glucometer memory. Results  The SBGM frequency was significantly higher in the NC group vs. the C group during the first 4 months (2.0 ± 0.2 tests/day vs. 1.4 ± 0.1 tests/day, P 
ISSN:0742-3071
1464-5491
DOI:10.1046/j.1464-5491.2003.01070.x