Understanding Self-Monitoring of Blood Glucose Among Individuals With Type 1 and Type 2 Diabetes

Abstract

Common and consequential SMBG information, motivation, and behavioral skills deficits were present, and patients with these gaps were less likely to test frequently. Clinical education focusing on relevant SMBG information, motivation to act, and behavioral skills for acting effectively may be a priority.

Testing versus guessing blood glucose values: impact on self-care behaviors in type 2 diabetes

“…The results of the pre-blood glucose testing questionnaire are quantitatively similar to those based on the IMB analysis conducted by Fisher and colleagues mentioned above 12 . In both studies, approximately 75% of subjects strongly agreed, agreed, or neither agreed nor disagreed with the statement 'My body tells me without testing if my blood sugar is low or high'.…”

“…Although historically there has been research exploring patient attitudes and beliefs around SMBG 11 , continued obstacles to performing SMBG have been observed despite advancements in blood glucose monitoring technology 12 …”

“…A recent cross-sectional behavioral study conducted by Fisher and colleagues 12 to evaluate barriers to SMBG concluded that a major barrier to people with diabetes performing SMBG was the belief that they can distinguish whether their blood glucose is too low or too high without testing based on what their body tells them. They then use these perceptions to make decisions about their diabetes management.…”

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“…Fisher, Kohut, et al (2011) have also found support for the constructs in the model in predicting the frequency of self-monitoring of blood glucose. In addition, an IMB analysis has been suggested as useful in conceptualizing critical determinants of diabetic foot ulcers which may result from poor diabetes self-care (Robbins et al, 2008).…”

“…Diabetes self-care behaviors can minimize or prevent many of the negative effects of this condition, but few individuals with diabetes engage in optimal levels of the multiple necessary self-care behaviors (e.g., diet, exercise, blood glucose testing, and medication adherence; Nwasuruba, Khan, & Egede, 2007). The IMB model has been used to conceptualize the determinants of the practice of diabetes self-management behavior (Fisher, Kohut, Schachner, & Stenger, 2011;Fisher & Schachner, 2008;Osborn, Amico, Fisher, Egede, & Fisher, 2010). In this connection, Osborn, Amico, Fisher, et al (2010) tested an IMB model articulated to diabetes self-care separately for diet and for exercise behavior endpoints in a sample of Puerto Rican individuals with diabetes, presently living in the United States.…”