Category: Diabetes/Prediabetes/Hypoglycemia

IMPACT OF DIABETES EDUCATION ON SELF MONITORING OF BLOOD GLUCOSE AMONG PATIENTS WITH DIABETES ATTENDING A TERTIARY HOSPITAL IN ABUJA, NIGERIA

Monday, Apr 8
1:00 AM – 2:00 AM

Objective : Self monitoring of blood glucose (SMBG) is an important component of diabetes education and should be encouraged in all patients with diabetes for better management as it enhances optimal gycaemic control and reduce diabetes complications. This study was aimed at evaluating the impact of diabetes education on frequency of SMBG and factors influencing glucometer use in patients with diabetes.


Methods : The study was cross-sectional and conducted in the diabetes outpatient clinic with 145 consecutive patients evaluated. Questionnaires were administered to obtain demographic data and information on SMBG education, use of glucometers, timing and frequency of monitoring. Data was analyzed using SPSSv20.


Results : A total of 145 patients with mean age 53.4±11.2 years were studied. There were more females 82(56.6%) than males 63(43.4%). The mean duration of Diabetes was 7.6±6.0 years. There were 118 (81.4%) patients who had education on the use of SMBG and 102(70.3%) acquired glucometers. Among those with glucometers, 34(35.1%) monitored their blood glucose once daily with mean fasting blood glucose (FBG) 7.5±2.6mmol/l, 2hour post-prandial (2HPP) 10.2±4.6mmol/l, while 27(27.8%) monitored thrice weekly with mean FBG 7.5±1.9mmol/l, 2HPP 10.1±3.1mmol/l and 17(16.7%) monitored occasionally with mean FBG 6.5±1.2mmol/l, 2HPP7.7±2.3mmol/l. The mean glycated haemoglobin (HbA1c) of all the patients who use SMBG was 7.5±2.4%. There were 48(33.1%) patients that never used SMBG who had mean FBG 9.0±3.3mmol/l, 2HPP 12.2±4.2mmol/l and low records of HbA1c . Majority of the patients 49(50.5%) were on oral antidiabetic drugs (OAD) and blood glucose records were kept by 59(60.8%) patients. Significant associations of SMBG were previous participation in diabetes education, long duration of the disease and educational qualification.


Discussion : Self monitoring of blood glucose data can help in achieving good glycaemic control by aiding the heatlh care provider individualize and optimize patients management which will lead to reduction of complications. Our study shows high awareness of self monitoring of blood glucose and practice among the patients, however the frequency of monitoring needs to be encouraged and reemphasised with each visit


Conclusion : This study shows high awareness of self monitoring of blood glucose and practice among the subjects but frequency of monitoring needs to be intensified

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Rifkatu SONNIE.. Reng

Senior Lecturer and Consultant Endocrinologist
College of Health Sciences, University of Abuja and University of Abuja Teaching Hospital
Abuja, Federal Capital Territory, Nigeria

Fellow of the National Postgraduate Medical College of Nigeria. A Physician/Consultant Endocrinologist. Senior Lecturer, College of Health Sciences. Fellow of American College of Endocrinology

Odiase Omonua

Consultant Endocrinologist
University of Abuja Teaching Hospital
Abuja, Federal Capital Territory, Nigeria

He is a fellow of the National Postgraduate Medical College. A Physician/Consultant Endocrinologist

Olufemi Adediran

Professor of Medicine/Endocrinology
University of Abuja College of Health Sciences and University of Teaching Hospital
Abuja, Federal Capital Territory, Nigeria

Fellow of West African College of Physicians. Professor of Medicine and Endocrinology. Fellow of American College of Endocrinology

Felicia Anumah

Professor of Medicine/Endocrinology
University of Abuja College of Health Sciences and University of Teaching Hospital
Abuja, Federal Capital Territory, Nigeria

Fellow of National Postgraduate Medical College. Professor of Medicine and Endocrinology. Fellow American College of Endocrinology