| Autor: |
Mastura, I, Teng, C L, Mimi, O, Ho, B K, Kusiar, Z, Hasim, R, Ismail, Mastura, Teng, Cheong-Lieng, Teng, Chong-Lieng, Omar, Mimi, Ho, Bee Kiau, Kusiar, Zainab, Hasim, Ruziaton |
| Zdroj: |
Singapore Medical Journal; 2013 Jul, Vol. 54 Issue 7, p391-395, 5p |
| Abstrakt: |
Introduction: Self-monitoring of blood glucose (SMBG) has been underutilised. We conducted an open-label, randomised controlled trial to assess the feasibility of introducing SMBG in primary care clinics in Malaysia.Methods: This was an open-label, randomised controlled trial conducted in five public primary care clinics in Malaysia. Patients with type 2 diabetes mellitus (age range 35-65 years) not performing SMBG at the time of the study were randomised to receive either a glucometer for SMBG or usual care. Both groups of patients received similar diabetes care from the clinics.Results: A total of 105 patients with type 2 diabetes mellitus were enrolled. Of these, 58 and 47 were randomised to intervention and control groups, respectively. After six months, the glycated haemoglobin (HbA1c) level in the intervention group showed a statistically significant improvement of 1.3% (p = 0.001; 95% confidence interval 0.6-2.0), relative to the control group that underwent usual care. The percentages of patients that reached the HbA1c treatment target of ≤ 7% were 14.0% and 32.1% in the control and intervention groups (p = 0.036), respectively.Conclusion: The usage of a glucometer improved glycaemic control, possibly due to the encouragement of greater self-care in the intervention group. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
