Frequency of self-monitoring blood glucose and attainment of HbA1c target values

Aims. Test strips for self-monitoring of blood glucose (SMBG) represent in Argentina, around 50 % of diabetes treatment cost; the frequency of their use is closely associated with hyperglycemia treatment. However, the favorable impact of SMBG on attainment of HbA1c goal in different treatment condit...

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Autores principales: Elgart, Jorge Federico, González, Lorena, Prestes, Mariana, Rucci, Enzo, Gagliardino, Juan José
Formato: Articulo
Lenguaje:Inglés
Publicado: 2016
Materias:
Medicina
SMBG
Metabolic control
Treatment costs
Diabetes education
Prescription audit
Treatment targets
Acceso en línea:http://sedici.unlp.edu.ar/handle/10915/139180
Aporte de:
SEDICI (UNLP) de Universidad Nacional de La Plata
id I19-R120-10915-139180
record_format dspace
institution Universidad Nacional de La Plata
institution_str I-19
repository_str R-120
collection SEDICI (UNLP)
language Inglés
topic Medicina
SMBG
Metabolic control
Treatment costs
Diabetes education
Prescription audit
Treatment targets
spellingShingle Medicina
SMBG
Metabolic control
Treatment costs
Diabetes education
Prescription audit
Treatment targets
Elgart, Jorge Federico
González, Lorena
Prestes, Mariana
Rucci, Enzo
Gagliardino, Juan José
Frequency of self-monitoring blood glucose and attainment of HbA1c target values
topic_facet Medicina
SMBG
Metabolic control
Treatment costs
Diabetes education
Prescription audit
Treatment targets
description Aims. Test strips for self-monitoring of blood glucose (SMBG) represent in Argentina, around 50 % of diabetes treatment cost; the frequency of their use is closely associated with hyperglycemia treatment. However, the favorable impact of SMBG on attainment of HbA1c goal in different treatment conditions remains controversial. We therefore attempted to estimate the relationship between use of SMBG test strips and degree of attainment of metabolic control in an institution of our social security subsector (SSS) in which provision is fully covered and submitted to a regular audit system. Methods. Observational retrospective study using information of 657 patients with T2DM (period 2009–2010) from the database of the Diabetes and Other Cardiovascular Risk Factors Program (DICARO) of one institution of our SSS. DICARO provides—with an audit system—100 % coverage for all drugs and keeps records of clinical, metabolic and treatment data from every patient. Results. The average monthly test strips/patient used for SMBG increased as a function of treatment intensification: Monotherapy with oral antidiabetic drugs (OAD) < combined OAD therapy < insulin treatment. In every condition, the number was larger in people with target HbA1c levels. Test strips represented the larger percentage of total prescription cost. Conclusions. In our population, the type of hyperglycemia treatment was the main driver of test strip use for SMBG; in every condition tested, targeted HbA1c values were associated with greater strip use. Patient education and prescription audit may optimize its use and treatment outcomes.
format Articulo
Articulo
author Elgart, Jorge Federico
González, Lorena
Prestes, Mariana
Rucci, Enzo
Gagliardino, Juan José
author_facet Elgart, Jorge Federico
González, Lorena
Prestes, Mariana
Rucci, Enzo
Gagliardino, Juan José
author_sort Elgart, Jorge Federico
title Frequency of self-monitoring blood glucose and attainment of HbA1c target values
title_short Frequency of self-monitoring blood glucose and attainment of HbA1c target values
title_full Frequency of self-monitoring blood glucose and attainment of HbA1c target values
title_fullStr Frequency of self-monitoring blood glucose and attainment of HbA1c target values
title_full_unstemmed Frequency of self-monitoring blood glucose and attainment of HbA1c target values
title_sort frequency of self-monitoring blood glucose and attainment of hba1c target values
publishDate 2016
url http://sedici.unlp.edu.ar/handle/10915/139180
work_keys_str_mv AT elgartjorgefederico frequencyofselfmonitoringbloodglucoseandattainmentofhba1ctargetvalues
AT gonzalezlorena frequencyofselfmonitoringbloodglucoseandattainmentofhba1ctargetvalues
AT prestesmariana frequencyofselfmonitoringbloodglucoseandattainmentofhba1ctargetvalues
AT ruccienzo frequencyofselfmonitoringbloodglucoseandattainmentofhba1ctargetvalues
AT gagliardinojuanjose frequencyofselfmonitoringbloodglucoseandattainmentofhba1ctargetvalues
bdutipo_str Repositorios
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