The influence of demographic, social-educational determinants and diabetes management on agreement between glucometer and logbook and its impact on glycemic control in patients with type 1 diabetes: a follow-up study
Abstract Background The primary objective of this study was to evaluate the demographic, clinical, social-educational determinants and diabetes management factors that have influenced the agreement between glycaemia obtained from a glucometer and logbook; the second objective was to evaluate the inf...
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| Format: | Article |
| Language: | English |
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BMC
2019-06-01
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| Series: | Diabetology & Metabolic Syndrome |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13098-019-0443-9 |
| _version_ | 1818442212460986368 |
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| author | Rebeca Cavalcante Alessandra S. M. Matheus Aneliza Zanette Bruna Braga Bruna Duarte Bruna Würdig Daniele Maieron João Scarparo Sorio Luciana Bagatini Michelle Cherit Marilia Brito Gomes |
| author_facet | Rebeca Cavalcante Alessandra S. M. Matheus Aneliza Zanette Bruna Braga Bruna Duarte Bruna Würdig Daniele Maieron João Scarparo Sorio Luciana Bagatini Michelle Cherit Marilia Brito Gomes |
| author_sort | Rebeca Cavalcante |
| collection | DOAJ |
| description | Abstract Background The primary objective of this study was to evaluate the demographic, clinical, social-educational determinants and diabetes management factors that have influenced the agreement between glycaemia obtained from a glucometer and logbook; the second objective was to evaluate the influence of the above-mentioned factors on glycemic control and its trajectories in Type 1 diabetes (T1D) over 1 year follow-up period during routine clinical practice. Methods This was a prospective observational cohort study conducted at the Diabetes Unit at Rio de Janeiro’s State University, between May 2017 and May 2018. All consecutive patients with clinical diagnosis of T1D that attended the Diabetes Unit between April and June 2017 were enrolled in this study. Results Data were obtained from 158 patients. Overall, for 112 (73.2%) of the patients, we found no agreement between glycaemia obtained from a glucometer and the logbook (group 2). In 41 (26.8%) of the patients there was an agreement (group 1). Patients from group 1 presented a lower mean glycated hemoglobin (HbA1c) (p = 0.03) and a tendency to have a lower baseline HbA1c (p = 0.08), they received more frequently strips for glucose monitoring from the Sistema Único de Saúde (SUS) (p = 0.047) and were more adherent to the prescribed diet (p = 0.01) than patients from group 2. Multivariate analysis of this agreement (as a dependent variable) showed that adherence to diet was the only significant independent variable. Significant difference was noted between baseline and final HbA1c [(9.4 ± 2.2%) vs (9.03 ± 1.8%), p = 0.017], respectively. Conclusions Our study revealed that the majority of T1D patients that were followed at a tertiary center did not have significant agreement between glycaemia obtained from a glucometer and a logbook. Adherence to diet was the main factor related to the agreement, but the supply of strips by SUS should also be considered in clinical practice. |
| first_indexed | 2024-12-14T18:40:33Z |
| format | Article |
| id | doaj.art-07ad1f6738954876857b5242e43cad32 |
| institution | Directory Open Access Journal |
| issn | 1758-5996 |
| language | English |
| last_indexed | 2024-12-14T18:40:33Z |
| publishDate | 2019-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Diabetology & Metabolic Syndrome |
| spelling | doaj.art-07ad1f6738954876857b5242e43cad322022-12-21T22:51:29ZengBMCDiabetology & Metabolic Syndrome1758-59962019-06-011111910.1186/s13098-019-0443-9The influence of demographic, social-educational determinants and diabetes management on agreement between glucometer and logbook and its impact on glycemic control in patients with type 1 diabetes: a follow-up studyRebeca Cavalcante0Alessandra S. M. Matheus1Aneliza Zanette2Bruna Braga3Bruna Duarte4Bruna Würdig5Daniele Maieron6João Scarparo Sorio7Luciana Bagatini8Michelle Cherit9Marilia Brito Gomes10Department of Internal Medicine, Diabetes Unit, State University Hospital of Rio de JaneiroDepartment of Internal Medicine, Diabetes Unit, State University Hospital of Rio de JaneiroDepartment of Internal Medicine, Diabetes Unit, State University Hospital of Rio de JaneiroDepartment of Internal Medicine, Diabetes Unit, State University Hospital of Rio de JaneiroDepartment of Internal Medicine, Diabetes Unit, State University Hospital of Rio de JaneiroDepartment of Internal Medicine, Diabetes Unit, State University Hospital of Rio de JaneiroDepartment of Internal Medicine, Diabetes Unit, State University Hospital of Rio de JaneiroDepartment of Internal Medicine, Diabetes Unit, State University Hospital of Rio de JaneiroDepartment of Internal Medicine, Diabetes Unit, State University Hospital of Rio de JaneiroDepartment of Internal Medicine, Diabetes Unit, State University Hospital of Rio de JaneiroDepartment of Internal Medicine, Diabetes Unit, State University Hospital of Rio de JaneiroAbstract Background The primary objective of this study was to evaluate the demographic, clinical, social-educational determinants and diabetes management factors that have influenced the agreement between glycaemia obtained from a glucometer and logbook; the second objective was to evaluate the influence of the above-mentioned factors on glycemic control and its trajectories in Type 1 diabetes (T1D) over 1 year follow-up period during routine clinical practice. Methods This was a prospective observational cohort study conducted at the Diabetes Unit at Rio de Janeiro’s State University, between May 2017 and May 2018. All consecutive patients with clinical diagnosis of T1D that attended the Diabetes Unit between April and June 2017 were enrolled in this study. Results Data were obtained from 158 patients. Overall, for 112 (73.2%) of the patients, we found no agreement between glycaemia obtained from a glucometer and the logbook (group 2). In 41 (26.8%) of the patients there was an agreement (group 1). Patients from group 1 presented a lower mean glycated hemoglobin (HbA1c) (p = 0.03) and a tendency to have a lower baseline HbA1c (p = 0.08), they received more frequently strips for glucose monitoring from the Sistema Único de Saúde (SUS) (p = 0.047) and were more adherent to the prescribed diet (p = 0.01) than patients from group 2. Multivariate analysis of this agreement (as a dependent variable) showed that adherence to diet was the only significant independent variable. Significant difference was noted between baseline and final HbA1c [(9.4 ± 2.2%) vs (9.03 ± 1.8%), p = 0.017], respectively. Conclusions Our study revealed that the majority of T1D patients that were followed at a tertiary center did not have significant agreement between glycaemia obtained from a glucometer and a logbook. Adherence to diet was the main factor related to the agreement, but the supply of strips by SUS should also be considered in clinical practice.http://link.springer.com/article/10.1186/s13098-019-0443-9Type 1 diabetesGlycemic controlSocio-educational determinantsSelf-monitoring blood glucoseGlucometer |
| spellingShingle | Rebeca Cavalcante Alessandra S. M. Matheus Aneliza Zanette Bruna Braga Bruna Duarte Bruna Würdig Daniele Maieron João Scarparo Sorio Luciana Bagatini Michelle Cherit Marilia Brito Gomes The influence of demographic, social-educational determinants and diabetes management on agreement between glucometer and logbook and its impact on glycemic control in patients with type 1 diabetes: a follow-up study Diabetology & Metabolic Syndrome Type 1 diabetes Glycemic control Socio-educational determinants Self-monitoring blood glucose Glucometer |
| title | The influence of demographic, social-educational determinants and diabetes management on agreement between glucometer and logbook and its impact on glycemic control in patients with type 1 diabetes: a follow-up study |
| title_full | The influence of demographic, social-educational determinants and diabetes management on agreement between glucometer and logbook and its impact on glycemic control in patients with type 1 diabetes: a follow-up study |
| title_fullStr | The influence of demographic, social-educational determinants and diabetes management on agreement between glucometer and logbook and its impact on glycemic control in patients with type 1 diabetes: a follow-up study |
| title_full_unstemmed | The influence of demographic, social-educational determinants and diabetes management on agreement between glucometer and logbook and its impact on glycemic control in patients with type 1 diabetes: a follow-up study |
| title_short | The influence of demographic, social-educational determinants and diabetes management on agreement between glucometer and logbook and its impact on glycemic control in patients with type 1 diabetes: a follow-up study |
| title_sort | influence of demographic social educational determinants and diabetes management on agreement between glucometer and logbook and its impact on glycemic control in patients with type 1 diabetes a follow up study |
| topic | Type 1 diabetes Glycemic control Socio-educational determinants Self-monitoring blood glucose Glucometer |
| url | http://link.springer.com/article/10.1186/s13098-019-0443-9 |
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