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Singapore Med J 2013; 54(7): 391-395; http://dx.doi.org/10.11622/smedj.2013140; Erratum in: Singapore Med J 2013; 54(8): 474.
Usage of glucometer is associated with improved glycaemic control in type 2 diabetes mellitus patients in Malaysian public primary care clinics: an open-label, randomised controlled trial
Mastura I, Teng CL, Mimi O, Ho BK, Kusiar Z, Hasim R
Correspondence: Dr Mastura Ismail, drmi68@yahoo.com
ABSTRACT
Introduction Self-monitoring of blood glucose (SMBG) has been underutilised. We conducted an open-label, randomised controlled trial to assess the feasibility of introducing SMBG in primary care clinics in Malaysia.
Methods This was an open-label, randomised controlled trial conducted in five public primary care clinics in Malaysia. Patients with type 2 diabetes mellitus (age range 35–65 years) not performing SMBG at the time of the study were randomised to receive either a glucometer for SMBG or usual care. Both groups of patients received similar diabetes care from the clinics.
Results A total of 105 patients with type 2 diabetes mellitus were enrolled. Of these, 58 and 47 were randomised to intervention and control groups, respectively. After six months, the glycated haemoglobin (HbA1c) level in the intervention group showed a statistically significant improvement of 1.3% (p = 0.001; 95% confidence interval 0.6–2.0), relative to the control group that underwent usual care. The percentages of patients that reached the HbA1c treatment target of ≤ 7% were 14.0% and 32.1% in the control and intervention groups (p = 0.036), respectively.
Conclusion The usage of a glucometer improved glycaemic control, possibly due to the encouragement of greater self-care in the intervention group.
Keywords: diabetes mellitus, Malaysia, primary care, randomised controlled trial, self-monitoring of blood glucose
Singapore Med J 2013; 54(7): 391-395; http://dx.doi.org/10.11622/smedj.2013140
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