title: The influence of glucose self-monitoring on glycaemic control in patients with diabetes mellitus in Sudan.
abstract: OBJECTIVE
  To investigate the influence of self-monitoring of glucose on the glycaemic control in Sudanese diabetic subjects.
  
  
  METHODS
  A group of 193 consecutive type 2 and type 1 diabetic subjects (95 men, 98 women) were studied. In 104 subjects with type 2 diabetes fasting blood glucose was measured using a glucose meter and blood was obtained for serum glucose measurement in the laboratory. In the remaining 89 diabetic subjects random blood glucose was measured using the same glucose meter and a whole blood sample was drawn for laboratory assessment of HbA1c. Data on self-monitoring and other clinical and personal characteristics were recorded.
  
  
  RESULTS
  More than 75% of either type 1 and type 2 diabetic patients never self-monitored blood or urine glucose. In type 2 diabetic subjects self-monitoring of blood or urine glucose was not related to glycaemic control. In type 1 diabetic subjects, however, self-monitoring of blood glucose was significantly associated with better glycaemic control, as assessed by HbA1c (P=0.02) and blood glucose at clinic visits (P< or =0.0001), and similar associations were found for urine glucose self-monitoring (P=0.04 and 0.02) respectively. Neither glycaemic control nor glucose self-monitoring was associated with education level.
  
  
  CONCLUSIONS
  Self-monitoring of blood glucose was not found to be associated to better glycaemic control in Sudanese subjects with type 2 diabetes. In contrast, self-monitoring of both blood and urine glucose was significantly associated with glycaemic control in subjects with type 1 diabetes. Self-monitoring of urine glucose could be useful where measurement of blood glucose is not available or affordable.
authors.affiliation: Department of Medical Sciences, Uppsala University Hospital, Sweden. moawia.abdelgadir@medsci.uu.se
authors.forename: M
authors.initials: M
authors.lastname: Abdelgadir
authors.forename: M
authors.initials: M
authors.lastname: Elbagir
authors.forename: M
authors.initials: M
authors.lastname: Eltom
authors.forename: C
authors.initials: C
authors.lastname: Berne
mesh_terms: D000328:Adult; D001786:Blood Glucose / Q000378:metabolism*; D015190:Blood Glucose Self-Monitoring; D003922:Diabetes Mellitus, Type 1 / Q000097:blood*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013397:Sudan
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin