PMID- 31604083 OWN - NLM STAT- MEDLINE DCOM- 20200220 LR - 20200220 IS - 1872-8227 (Electronic) IS - 0168-8227 (Linking) VI - 157 DP - 2019 Nov TI - The impact of provision of self-monitoring of blood glucose supplies on self-care activities among patients with uncontrolled Type 2 diabetes mellitus: A prospective study. PG - 107873 LID - S0168-8227(19)30956-8 [pii] LID - 10.1016/j.diabres.2019.107873 [doi] AB - AIMS: Self-monitoring of blood glucose (SMBG) is an important self-care activity for patients with Type 2 diabetes mellitus (T2DM) to achieve glycaemic control. The aim of this study was to evaluate the impact of providing SMBG supplies on self-care among patients with uncontrolled T2DM. METHODS: This was a six-month, prospective study conducted in two primary care institutions. Patients >/=21 years old with uncontrolled T2DM (HbA1c > 7.0%) and polypharmacy (>/=5 chronic medications) were included. All participants were given a free blood glucometer, test strips, and lancets, and were invited to consult pharmacists to learn about SMBG. The Summary of Diabetes Self-Care Activities questionnaire was administered at baseline and at six months. RESULTS: A total of 167 patients were recruited and 150 (89.8%) completed the study. At six months, significant improvements from baseline were observed for overall self-care (+0.58, p = 0.008), glycemic control (-0.41%, p < 0.001) and all specific self-care activities. The mean change in the SMBG score in all the participants was found to have a strong positive correlation with the mean change in the overall self-care score (r(s) = 0.580, p = 0.01). CONCLUSIONS: Provision of SMBG supplies was effective in improving self-care among patients with uncontrolled T2DM, including non-insulin-treated patients. CI - Copyright (c) 2019 Elsevier B.V. All rights reserved. FAU - Xu, Yingqi AU - Xu Y AD - Department of Pharmacy, Faculty of Science, National University of Singapore, Singapore. FAU - Lim, Judith Han AU - Lim JH AD - Department of Pharmacy, Faculty of Science, National University of Singapore, Singapore. FAU - Henry Ramaya AU - Henry Ramaya AD - National University Polyclinics, Singapore. FAU - Lee, Yu-Chia Joyce AU - Lee YJ AD - Department of Pharmacy, Faculty of Science, National University of Singapore, Singapore. Electronic address: phalycj@nus.edu.sg. LA - eng PT - Journal Article PT - Multicenter Study DEP - 20191008 PL - Ireland TA - Diabetes Res Clin Pract JT - Diabetes research and clinical practice JID - 8508335 SB - IM MH - Adult MH - Blood Glucose Self-Monitoring/instrumentation/*methods MH - Diabetes Mellitus, Type 2/blood/*therapy MH - Female MH - Humans MH - Male MH - Middle Aged MH - Prospective Studies MH - Self Care/*methods MH - Young Adult OTO - NOTNLM OT - Insulin OT - Non-insulin OT - Self-care OT - Self-monitoring of blood glucose OT - Type 2 diabetes EDAT- 2019/10/12 06:00 MHDA- 2020/02/23 06:00 CRDT- 2019/10/12 06:00 PHST- 2019/07/04 00:00 [received] PHST- 2019/09/23 00:00 [revised] PHST- 2019/09/30 00:00 [accepted] PHST- 2019/10/12 06:00 [pubmed] PHST- 2020/02/23 06:00 [medline] PHST- 2019/10/12 06:00 [entrez] AID - S0168-8227(19)30956-8 [pii] AID - 10.1016/j.diabres.2019.107873 [doi] PST - ppublish SO - Diabetes Res Clin Pract. 2019 Nov;157:107873. doi: 10.1016/j.diabres.2019.107873. Epub 2019 Oct 8.