Title: Glucose Monitoring and Telemonitoring Pattern among Patients with Diabetes Mellitus
Author: Dr Pradeep Kumar Shukla
DOI: https://dx.doi.org/10.18535/jmscr/v5i3.108
Abstract
SMBG and Telemonitoring participants used the Glucometer for blood glucose analysis that enabled patients to record profile on 3 consecutive days prior to each scheduled study visit. ACG used to visit clinic/ hospital for regular blood glucose monitoring and follow-up as per schedule. All Participants received training in the use of the glucometer and instructions how to identify glycemic patterns and how to resolve them by changes in physical activity, portion sizes, and/or meal composition. Telemonitoring means measurement of BG at home and reports are sent by the text message or by email. Patients put on telemonitoring group were instructed to measure their BG, weight at home and report it by email or by telephone. Their data was entered in the Excel sheet and was interpreted. Any minor modification in treatment or in diet was communicated through email or telephone. Data was continuously monitored by the treating physician and instructions were inserted on the excel sheet.
480 patients screened, 374 (SMBG =123, TMG= 125, ACG =126) were eligible and were enrolled in the study. Of these 10 (SMBG =4, TMG= 3, ACG =3) patients doesn’t gave consent and 15(SMBG =4, TMG= 6, ACG =5 ) patients were lost to follow up . So data of total 349 patients was collected, interpreted and analysed. Total 115 patients in SMBG 38.26% were below 50 years age and 61.74% were above 50 years age group, similarly in TMG and ACG group <50: >50 percentage was 41.38%: 58.62% and 41.43%:58.47% respectively.
Male to female percentage in SMBG was 60% and 40 %, while in TMG it was 61.21% and 38.79 % respectively. Percentage in ACG of male and female patients was 62.71% and 37.29% respectively. Percentage of patients put on single drug or on dietary treatment in SMBG, TMG and ACG was 46.96%, 58.62% and 56.78% respectively, while percentage of patients on 2 or more drugs in in SMBG, TMG and ACG was 53.04%, 41.38% and 43.22% respectively.
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