The Relationship Between Home Glucose Monitoring and Glycaemic Control in an urban Nigerian Population with type 2 diabetes

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Iwuala, S.O
Nwaorah, C.M
Adeyemi-doro, A
Fasanmade, O.A
Ohwovoriole, A.E
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Nigerian chapter of American Association of Clinical Endocrinologists.
Background: Home blood glucose measurements (HBGM) are recommended components of modern diabetes self-management. Its value however is discussed controversially in developed countries and its impact in glycaemic control in resource-poor settings is yet to be documented. Aim: To determine the relationship between HBGM and glycemic control in type 2 DM patients of an urban Nigerian population. Methods: Every third patient with clinic attendance over 1 year at an urban diabetes clinic was recruited for the study. All patients were requested to complete a questionnaire investigating demographic data, diabetes history and home glucose monitoring practices. Glycemic control was determined by the FBS, 2HPP and glycated haemoglobin. Glycated haemoglobin was done by a point-of-care device that uses the boronate affinity chromatography method to separate glycated from non-glycated fractions. Results: There were 100 patients studied, 62 (62%) females and 38 (38%) males. The mean age, duration of DM, BMI, FBS, 2HPP and HBA1C of the study population was 59.1 +/-10.6 years, 10.5 +/-7.3 years, 26.7 +/- 4.4kg/m 2, 114.8 +/- 53.4mg/ml, 135.3 +/-85.7 mg/ml, 8.2 +/-2.2% respectively. HBGM was practiced by 40 (40%) patients, 27(67.5%) females and 13(32.5%) males. The mean number of times HBGM was done /month was 9.2 +/- 8.2 times. HBGM was practiced more by females, persons on insulin therapy, persons with higher educational level and longer duration of diabetes. The mean HBA1C in the group who practice SMBG was lower though not statistically significant compared to the group who do not (7.97% vs. 8.04%, p= 0.9). Conclusion: In this study, there was no relationship between home glucose monitoring practices and glycaemic control. This may be due to the infrequent HBGM practice or lack of awareness of target glycemia levels. There is thus a need for larger studies in this area to be done.
Book of Abstracts AACE Nigeria conference 2008
home blood glucose monitoring , glycaemic control , Nigeria , Urban Nigerian population. , Research Subject Categories::MEDICINE
Iwuala SO, Nwaorah CM, Adeyemi- Doro A, Fasanmade OA, Ohwovoriole AE. The Relationship Between Home Glucose Monitoring and Glycaemic Control in an urban Nigerian Population with type 2 diabetes. Book of Abstracts AACE Nigeria conference 2008