1. bookVolumen 57 (2019): Edición 2 (June 2019)
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2501-062X
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30 Mar 2015
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Relationship between HbA1c and capillary blood glucose self-monitoring in type 2 diabetics

Publicado en línea: 20 Jun 2019
Volumen & Edición: Volumen 57 (2019) - Edición 2 (June 2019)
Páginas: 125 - 132
Recibido: 09 Sep 2018
Detalles de la revista
License
Formato
Revista
eISSN
2501-062X
Primera edición
30 Mar 2015
Calendario de la edición
4 veces al año
Idiomas
Inglés
Abstract

Introduction. Diabetes Control and Complications Trial has established the importance of glycemic control in reducing the progression of retinopathy, nephropathy, and neuropathy in type 1 diabetics. There is little literature linking the frequency of glycemic monitoring with glycated hemoglobin A (HbA1c) in type 2 diabetics. The objectives were to assess the influence of glycemic self-monitoring on HbA1c in three groups of patients with type 2 diabetes (with insulin, with oral antidiabetics and with combination therapy).

Methods. The glucometer capillary surveys of 117 patients were counted in the 30 days prior to the visit to the Integrated Diabetes Unit at Centro Hospitalar Tondela-Viseu. In the three groups considered, sociodemographic characteristics (age, gender, area of residence, household and schooling) were evaluated and compared.

Results. There was no statistically significant association between HbA1c and the frequency of capillary glucose in any of the groups. In the evaluation of sociodemographic data, contrary to what was expected, the area of residence and schooling did not influence the value of HbA1c.

Conclusion. These results question the role of glycemic monitoring in the metabolic control of type 2 diabetics, highlighting the need to implement therapeutic education programs so that these patients can adequately intervene in the therapeutic adjustment as a function of the information obtained by capillary glycemia.

Keywords

1. NATHAN DM. The diabetes control and complications trial/epidemiology of diabetes interventions and complications study at 30 years: Overview. Diabetes Care. 2014;37(1):9–16.10.2337/dc13-2112386799924356592Search in Google Scholar

2. MILLER KM, BECK RW, BERGENSTAL RM, GOLAND RS, HALLER MJ, MCGILL JB, et al. Evidence of a strong association between frequency of self-monitoring of blood glucose and hemoglobin A1c levels in T1D exchange clinic registry participants. Diabetes Care. 2013;36(7):2009–14.10.2337/dc12-1770368732623378621Search in Google Scholar

3. STRAIN WD, COS X, HIRST M, VENCIO S, MOHAN V, VOKÓ Z, et al. Time to do more: Addressing clinical inertia in the management of type 2 diabetes mellitus. Diabetes Res Clin Pract. 2014;105(3):302–12.10.1016/j.diabres.2014.05.00524956964Search in Google Scholar

4. SNOEK F. Barriers to good glycaemic control: the patient’s perspective. Int J Obes [Internet]. 2000;24:S12–20.10.1038/sj.ijo.080142111063280Search in Google Scholar

5. GONDER-FREDERICK LA, COX DJ, RITTERBAND LM. Diabetes and behavioral medicine: The second decade. J Consult Clin Psychol. 2002;70(3):611–25.10.1037/0022-006X.70.3.611Search in Google Scholar

6. RUSHFORTH B, MCCRORIE C, GLIDEWELL L, MIDGLEY E, FOY R. Barriers to effective management of type 2 diabetes in primary care: Qualitative systematic review. Br J Gen Pract. 2016;66(643):e114–27.10.3399/bjgp16X683509472321026823263Search in Google Scholar

7. DORSEY JL, BECKER MH, AL. E. Glycemic targets: Standards of medical care in diabetes – 2018. Diabetes Care. 2018;41(Supplement 1):S55–64.10.2337/dc18-S00629222377Search in Google Scholar

8. BRIDGES JF, BRIGNAC D, THOMAS S, KENT C, OGBULI M, DRAPER J, et al. Optimizing HgA1C and glucose monitoring frequency in patients with Type 2 diabetes. Med Sci Monit [Internet]. 2012;18(12):CR693-7.10.12659/MSM.883594Search in Google Scholar

9. SHICHIRI M, KISHIKAWA H, OHKUBO Y WN. Long-term results of the Kumamoto study on optimal diabetes control in type 2 diabetic patients. Diabetes Care. 2000;23.Search in Google Scholar

10. KHOWAJA K, WAHEED H. Original article Self-glucose monitoring and glycaemic control at a tertiary care university hospital, Karachi, Pakistan. J Pak Med Assoc. 2010 Dec;60(12):1035-8.Search in Google Scholar

11. FISHER L, POLONSKY W, PARKIN CG, JELSOVSKY Z, AMSTUTZ L, WAGNER RS. The impact of blood glucose monitoring on depression and distress in insulin-naïve patients with type 2 diabetes. Curr Med Res Opin [Internet]. 2011;27(sup 3): 39–46.10.1185/03007995.2011.61917621916532Search in Google Scholar

12. WANG JS, LEE I TE, LEE WJ, LIN SD, SU SL, TU S TE, et al. Glycemic excursions are positively associated with changes in duration of asymptomatic hypoglycemia after treatment intensification in patients with type 2 diabetes. Diabetes Res Clin Pract [Internet]. 2016;113:108–15.10.1016/j.diabres.2015.12.01026810269Search in Google Scholar

13. OSMAN O, SHERIFALI D, STOLEE P, HECKMAN G. Diabetes Management in Long-Term Care: An Exploratory Study of the Current Practices and Processes to Managing Frail Elderly Persons with Type 2 Diabetes. Can J Diabetes [Internet]. 2016;40(1):17–30.10.1016/j.jcjd.2015.10.00526827683Search in Google Scholar

14. ROSSI MC, LUCISANO G, CERIELLO A, MAZZUCCHELLI C, MUSACCHIO N, OZZELLO A, et al. Real-world use of self-monitoring of blood glucose in people with type 2 diabetes: an urgent need for improvement. Acta Diabetol [Internet]. 2018.10.1007/s00592-018-1186-z30062588Search in Google Scholar

15. FARMER A. Meta-analysis: Self-monitoring in non-insulin-treated type 2 diabetes improved HbA1c by 0.25%. Ann Intern Med. 2012;156(12):24199.10.7326/0003-4819-156-12-201206190-0201222711113Search in Google Scholar

16. MALANDA UL, BOT SD, NIJPELS G. Self-monitoring of blood glucose in noninsulin-using type 2 diabetic patients: It is time to face the evidence. Diabetes Care. 2013;36(1):176–8.10.2337/dc12-0831352621323264289Search in Google Scholar

17. SCHNELL O, ALAWI H, BATTELINO T, CERIELLO A, DIEM P, FELTON AM, et al. Self-monitoring of blood glucose in type 2 diabetes: Recent studies. J Diabetes Sci Technol. 2013;7(2):478–88.10.1177/193229681300700225373765023567007Search in Google Scholar

18. CLAR C, BARNARD K, CUMMINS E, ROYLE P, WAUGH N. Self-monitoring of blood glucose in type 2 diabetes: Systematic review. Health Technol Assess (Rockv). 2010;14(12):1–140.10.3310/hta1412020226138Search in Google Scholar

19. ROBSON J, SMITHERS H, CHOWDHURY T, BENNETT-RICHARDS P, KEENE D, DOSTAL I, et al. Reduction in self-monitoring of blood glucose in type 2 diabetes: An observational controlled study in East London. Br J Gen Pract. 2015;65(633):e256–63.10.3399/bjgp15X684421437758825824186Search in Google Scholar

20. SOCIEDADE PORTUGUESA DE DIABETOLOGIA. Diabetes: Factos e Números. Vol. 11, Relatório Anual do Observatório Nacional da Diabetes 11/2014. 2014. 0-64 p.Search in Google Scholar

21. HUANG YM, SHIYANBOLA OO, CHAN HY. A path model linking health literacy, medication self-efficacy, medication adherence, and glycemic control. Patient Educ Couns [Internet]. 2018;10.2147/PPA.S153312595331929785094Search in Google Scholar

22. OLESEN K, F REYNHEIM AL, JOENSEN L, RIDDERSTRÅLE M, KAYSER L, MAINDAL HT, et al. Higher health literacy is associated with better glycemic control in adults with type 1 diabetes: a cohort study among 1399 Danes. BMJ Open Diabetes Res Care [Internet]. 2017;5(1):e000437.10.1136/bmjdrc-2017-000437570648629225895Search in Google Scholar

23. BILLINGS LK, PARKIN CG, PRICE D. Baseline glycated hemoglobin values predict the magnitude of glycemic improvement in patients with type 1 and type 2 diabetes: Subgroup analyses from the DIAMOND study program. Diabetes Technol Ther [Internet]. 2018;20(8):561–5.10.1089/dia.2018.0163608012330044123Search in Google Scholar

24. OLRY DE LABRY LIMA A, MOYA GARRIDO MN, ESPÍN BALBINO J. Systematic review of economic evaluation studies and budget impact on ambulatory monitoring of capillary glucose in type 2 diabetics. Prim Care Diabetes [Internet]. 2014;8(1):13–21.10.1016/j.pcd.2013.11.00524360230Search in Google Scholar

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