Facilitators and barriers to self-monitoring of blood glucose (SMBG) in diabetic patients visiting family medicine clinics at Akuh.&amp;nbsp;

Brohi, Asif Hakim; Hakim, Arsalan; Khan, Muhammad Khalid; Malik, Ehsanullah; Mugheri, Delijan; Shaikh, Fozia; Abbas, Waseem; Baloch, Nadeem; Ashraf, Zehra; Mangi, Altaf Ali; Lashari, Saika

doi:10.21203/rs.3.rs-35708/v1

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…There was also no difference in the ability of participants to test and self-monitor blood glucose levels with only 35% from each group being able to test at home. This is similar to studies done in Nigeria which reported prevalence of selfmonitoring of blood glucose to range from 27% to 33% 21,22 . This can be attributed to the fact that most patients cannot afford a glucometer, test strips and needles.…”

Section: Discussionsupporting

confidence: 90%

Evaluation of diabetic peer support in Malawi

et al. 2021

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BackgroundType 2 diabetes is a major health concern worldwide and requires urgent attention from health care providers and policy makers. Due to shortage of health care workers in low-income countries, peer support programs have been viewed as a viable option in management of diabetes and have shown to be effective in sub-Saharan Africa. ObjectiveThe aim of this study is to assess and evaluate the Kamuzu Central Hospital (KCH) diabetic peer support program’s (DPSP) impact 4 years after its establishment by assessing knowledge, self-efficacy and behaviours of DPSP members compared to non-members.Methodology This is a cross-sectional study done among diabetic patients attending clinics between 12th August and 25th September 2018 at KCH. Self and interviewer-administered questionnaires (designed based on validated survey instruments) were used. The participants (n=176) were recruited consecutively after consenting. Results Results showed DPSP members were more knowledgeable regarding the effects of skipping meals and sweet juice on blood glucose and conditions not associated with diabetes. In terms of self-efficacy and behaviour changes, DPSP members believe that they are more able to correct hypoglycaemia, to communicate their concerns to health workers and to perform daily foot exam compared to non-members.Conclusion The KCH (Lilongwe) Diabetes Peer Support program has positively impacted its members and should be scaled up to engage all diabetic patients in Malawi. Ongoing training for peer supporters is necessary to update and reinforce management, knowledge and skills, and to ensure fidelity in program implementation.

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Section: Discussionsupporting

confidence: 90%

Evaluation of diabetic peer support in Malawi

et al. 2021

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“…16,17 Similarly, studies conducted in Australia, USA, and Malaysia show that SMBG frequency is 88%, 32%, and 6.2%, respectively. 18 There is lack of evidence in this part of the world about the subject and its effects in terms of acute and chronic complications of diabetes mellitus. This study was conducted to assess the SMBG profile in both type 1 and type 2 diabetic patients, its frequency, adherence and non-adherence to SMBG.…”

Section: Discussionmentioning

confidence: 99%

Non-adherence to self-monitoring of blood glucose (SMBG) in poorly controlled type 1 and type 2 diabetes mellitus.

Muhammad Akbar Shah,

Sajida Riaz,

Fasih Iqbal

et al. 2024

TPMJ

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Objective: To access non-adherence to self-monitoring blood glucose (SMBG) in poorly controlled type 1 and type 2 diabetes mellitus. Study Design: Prospective Descriptive study. Setting: Department of Diabetes and Endocrinology, Hayat Medical Complex Peshawar. Period: July 2023 to January 2024. Methods: The study comprised 296 patients, 50 patients had type 1 diabetes (T1DM) and 246 had type 2 diabetes (T2DM). Participants were selected based on defined criteria of poor glycemic control characterized by persistent hyperglycemia and raised HbA1c. SMBG profile was assessed and common factors recorded. Results: The patient mean age was 60 years with a standard deviation of 9.8. Non-adherence to SMBG was observed in 45.94%. Non-adherence to SMBG was 40% in Type 1 DM whereas in Type 2 DM it was 47.15%. Factors responsible for non-adherence were, not knowing about SMBG (60%), lack of glucometer (54%), the uselessness of SMBG (36%), costly strips (80%), inability to check SMBG (50%), painful procedure (30%), and SMBG inconvenient (40%). Short history of diabetes (55%) T2DM (47.15%), Illiteracy (52.94%), negative family history of diabetes (51%), and poor economic condition (73.52%) were common predictors. Conclusion: The research gives an important insight in to the demography, treatment modalities, non-adherence and adherence to self-monitoring blood glucose testing, various factors responsible and predicting non-adherence to SMBG.

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