9th International Science Congress (ISC-2019).  International E-publication: Publish Projects, Dissertation, Theses, Books, Souvenir, Conference Proceeding with ISBN.  International E-Bulletin: Information/News regarding: Academics and Research

Evaluation of SMBG, Diet and Physical Activity in DM II Patients, A Case Study at Tertiary Care Hospital of Larkana, Sindh, Pakistan

Author Affiliations

  • 1Department of Pharmacy, SMBBMU, Larkana, PAKISTAN
  • 2Department of Pharmaceutics, Faculty of Pharmacy, University of Sindh, Jamshoro, PAKISTAN

Int. Res. J. Biological Sci., Volume 4, Issue (9), Pages 69-73, September,10 (2015)

Abstract

Self monitoring of blood glucose level helps to evaluate the result of dietary requirements, medical treatment, stress and physical activity on glucose levels within blood.Out of 400 patients 9% were involved in SMBG once daily, (14%) were involved in SMBG two times in a week, 7% were involved in SMBG three times in a week and 70% were involved in SMBG once in a 15 days or month(s). The frequency of SMBG and adjustment in dose of drug was as 28 (78%) once daily, 34 (60%) two times in a week, 19 (67%) three times in week and none of the patients who were involved in SMBG once in a 15 days or month(s) adjust their dose. The frequency of SMBG and adjustment in diet was as 34 (94%) once daily, 42 (75%) two times in a week, 21 (75%) three times in week, 4 (50%) once in a 15 days and 122 (44%) who were involved in SMBG once in a month(s) involved in adjustment of their diet. The frequency of SMBG and adjustment in physical activity was as 16 (44%) once daily, 19 (33%) two times in week, 7 (25%) three times in a week and 74 (27%) who were involved in SMBG once in a month(s) involved in adjustment of their physical activity.It was also concluded that the patients who were involved in SMBG as per recommendation got the benefit by adjusting their dose, diet and physical activity.

References

  1. Harris M and Zimmet P, Classifiation of diabetes mellitus and other categories of glucose intolerance. International Textbook of Diabetes Mellitus, Second edition. chichester: John Wiley and Sons Ltd; P9-23 (1997)
  2. Hunt Kj Schullerkl, The increasing prevalence of diabetes in pregnancy, Obstet Gynecolclin north Am, 34 (2), 173-199 (2007)
  3. Al-Nuaim Ar, Mirdad S, Al-Rubeaan K, Al-Mazrouy, Al-Attas O and Al-Daghari N., Pattern and factors associated with glycemic control of Saudi diabetic patients, Ann Saudi Med., 18, 109-12 (1998)
  4. Diabetes Control and Complications Trial (DCCT) Research Group, The effect of intensive treatment of diabetes on the development and progression of longterm complications in insulin-dependent diabetes mellitus, N Engl J Med, 329, 977-986 (1993)
  5. Uk Prospective Diabetes Study (Ukpds) Group, Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33), Lancet, 352, 837-853 (1998)
  6. Coutinho M, Gerstein Hc, Wang Y and Yusuf S., The relationship between glucose and incident cardiovascular events: A metaregression analysis of published data from 20 studies of 95,783 individuals followed for 12.4 years, Diabetes Care, 22, 233240 (1999)
  7. Stratton Im, Adler Ai, Neil Ha, Matthews Dr, Manley Se, Cull Ca, Hadden D, Turner Rc and Holman Rr, Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35), prospective observational study. BMJ, 321, 405-412 (2000)
  8. Duckworth W, Abraira C, Moritz T, Reda D, Emanuele N, Reaven Pd and ZieveFj et.al, Glucose control and vascular complications in veterans with type 2 diabetes, N Engl J Med;360, 129-139 (2009)
  9. Schwedes U, Siebolds M and Mertes G., Meal-related structured self-monitoring of blood glucose: effect on diabetes control in non-insulin-treated type 2 diabetic patients, Diabetes Care, 25, 1928-1932 (2002)
  10. Jansen Jp, Self-monitoring of glucose in type 2 diabetes mellitus: A Bayesian meta-analysis of direct and indirect comparisons, Curr Med Res Opin, 22, 671-681 (2006)
  11. SarolJn Jr, Nicodemus Na Jr, Tan Km and Grava Mb, Self-monitoring of blood glucose as part of a multicomponent therapy among non-insulin requiring type 2 diabetes patients: a meta-analysis (19662004), Curr Med Res Opin., 21, 17384 (2005)
  12. Welschen Lm1, Bloemendal E, Nijpels G, Dekker Jm, Heine Rj, StalmanWa and Bouter Lm, Self-monitoring of blood glucose in patients with type 2 diabetes who are not using insulin: A systematic review, Diabetes Care, 28, 151017 (2005)
  13. Katharine D, Barnard Amanda, J Young and Norman R Waugh, Self-Monitoring of Blood Glucose: A Survey of Diabetes UK Members with Type 2 Diabetes Who Use SMBG, BMC Research Notes, 318, (2010)
  14. Maureen Harris Mi., Frequency of blood glucose monitoring in relation to glycemic control in patients with type 2 diabetes, Diabetes Care, 24, 979-82 (2001)