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Articles by M. Rodacki
Total Records ( 1 ) for M. Rodacki
  M. B. Gomes , L. R. M. Tannus , R. A. Cobas , A. S. M. Matheus , P. Dualib , A. T. Zucatti , C. Cani , A. A. D. Guedes , F. M. Santos , J. Sepulveda , M. Tolentino , M. C. Facanha , A. C. R. A. Faria , S. Lavigne , A. P. Montenegro , M. Rodacki , M. de Fatima Guedes , R. Szundy , M. M. Cordeiro , P. T. S. Santos and C. A. Negrato
 

Aim

The aim of this study was to determine the relationship between the daily frequency of self-monitoring of blood glucose and glycaemic control, demographic and socio-economic status in patients with Type 1 diabetes under routine clinical care in Brazil.

Methods

This was a cross-sectional, multi-centre study conducted between December 2008 and December 2010 in 28 public clinics in 20 Brazilian cities. The data were obtained from 3176 patients, aged 22 ± 11.8 years, of whom 56.3% were female and 57.4% were Caucasian. The mean time since diabetes diagnosis was 11.7 ± 8.1 years.

Results

The prevalence of self-monitoring of blood glucose was 88.5%. There was a significant increase in self-monitoring frequency associated with female gender, lower ages, more intensive diabetes management and higher socio-economic status. A correlation between HbA1c levels and the daily frequency of self-monitoring was observed (rs = -0.13; = 0.001). The mean HbA1c levels were related to the daily frequency of self-monitoring (< 0.001) without additional benefit to patients who performed self-monitoring more than four times daily (9.2, 11.2, 10.2,15.2 and 15% for one, two, three, four, five or more self-monitoring tests daily, respectively; < 0.0001).

Conclusions

The majority of our patients (88.5%) performed three or more self-monitoring tests daily, with more frequent testing reported by females, younger patients, those on intensive insulin regimens and of higher socio-economic status. No additional benefit was found in patients who performed self-monitoring more than four times daily. The diabetes care team must improve patients' education regarding self-monitoring of blood glucose and its benefits.

 
 
 
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