PMID- 31413552
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220409
IS  - 1177-889X (Print)
IS  - 1177-889X (Electronic)
IS  - 1177-889X (Linking)
VI  - 13
DP  - 2019
TI  - Adherence to self-monitoring of blood glucose in Chinese patients with type 2 
      diabetes: current status and influential factors based on electronic 
      questionnaires.
PG  - 1269-1282
LID - 10.2147/PPA.S211668 [doi]
AB  - BACKGROUND AND PURPOSE: Self-monitoring of blood glucose (SMBG) is important to 
      the management of diabetes mellitus, yet most patients with type 2 diabetes 
      mellitus (T2DM) do not perform SMBG as recommended. The current status and 
      influential factors of SMBG in China have not been well investigated. This study 
      aimed to describe the present status of SMBG adherence in China and investigate 
      the influential factors based on electronic questionnaires. PATIENTS AND METHODS: 
      A cross-sectional study was conducted from June to July of 2017 at hospitals in 
      Changsha, China. Seven hundred and twenty-one patients with T2DM completed the 
      information‑motivation‑behavioral (IMB) skills questionnaire and other electronic 
      questionnaires composed of demographic and clinical characteristics as well as 
      diabetes-related and psychological scales. Univariate comparisons and 
      multivariate logistic regression were used to explore the relationships among 
      SMBG adherence and related factors. RESULTS: Seven hundred and twenty-one 
      patients with valid questionnaires were included. Only 27.5% (198/721) of the 
      patients with T2DM were SMBG adherent based on the guideline of the Chinese 
      Diabetes Society (CDS) in 2017. Among all groups of treatment regimens, the rate 
      of SMBG adherence was highest at 36.6% (82/224) in patients on oral hypoglycaemic 
      drugs (OHAs). In multivariable analysis, the treatment of OHAs (OR =3.731, CI 
      2.162-6.437) and diet/exercise (OR =3.534, CI 1.841-6.783), the patient having 
      their own blood glucose meter (OR =6.916, CI 4.054-11.800) and a higher education 
      level (OR =3.780, CI 1.688-8.466) were significantly associated with SMBG 
      adherence. CONCLUSION: Most Chinese patients with T2DM did not perform SMBG as 
      recommended. The treatment of OHAs and diet/exercise, the patient having their 
      own blood glucose meter, a higher education level and other factors were 
      correlates of SMBG adherence. There is clearly a need for prospective, 
      multicenter, large-scale studies to explore the reasons for patients' failure to 
      practice SMBG adherence.
FAU - Wang, Xin
AU  - Wang X
AD  - Xiangya School of Nursing, Central South University, Changsha, Hunan, People's 
      Republic of China.
FAU - Luo, Jun-Fei
AU  - Luo JF
AD  - The College of Literature and Journalism, Central South University, Changsha, 
      Hunan, People's Republic of China.
FAU - Qi, Lin
AU  - Qi L
AD  - Department of Orthopaedics, The Second Xiangya Hospital, Central South 
      University, Changsha, Hunan, People's Republic of China.
AD  - Hunan Key Laboratory of Tumor Models and Individualized Medicine, the Second 
      Xiangya Hospital, Changsha, Hunan, People's Republic of China.
FAU - Long, Qing
AU  - Long Q
AD  - Xiangya School of Nursing, Central South University, Changsha, Hunan, People's 
      Republic of China.
FAU - Guo, Jia
AU  - Guo J
AD  - Xiangya School of Nursing, Central South University, Changsha, Hunan, People's 
      Republic of China.
FAU - Wang, Hong-Hong
AU  - Wang HH
AD  - Xiangya School of Nursing, Central South University, Changsha, Hunan, People's 
      Republic of China.
LA  - eng
PT  - Journal Article
DEP - 20190725
PL  - New Zealand
TA  - Patient Prefer Adherence
JT  - Patient preference and adherence
JID - 101475748
PMC - PMC6662864
OTO - NOTNLM
OT  - China
OT  - adherence
OT  - glycemic control
OT  - self-monitoring of blood glucose
OT  - type 2 diabetes mellitus
COIS- The authors report no conflicts of interest in this work.
EDAT- 2019/08/16 06:00
MHDA- 2019/08/16 06:01
PMCR- 2019/07/25
CRDT- 2019/08/16 06:00
PHST- 2019/04/09 00:00 [received]
PHST- 2019/06/30 00:00 [accepted]
PHST- 2019/08/16 06:00 [entrez]
PHST- 2019/08/16 06:00 [pubmed]
PHST- 2019/08/16 06:01 [medline]
PHST- 2019/07/25 00:00 [pmc-release]
AID - 211668 [pii]
AID - 10.2147/PPA.S211668 [doi]
PST - epublish
SO  - Patient Prefer Adherence. 2019 Jul 25;13:1269-1282. doi: 10.2147/PPA.S211668. 
      eCollection 2019.