title: Effectiveness for self-monitoring of blood sugar on blood glucose    control in Turkish patients with type 2 diabetes mellitus.
abstract: OBJECTIVE
  Diabetes mellitus (DM) is a chronic disease requiring continuous monitoring and treatment. Self-monitoring of blood glucose (SMBG) is frequently recommended. The purpose of the study was to evaluate effectiveness of SMBG on metabolic control in Turkish patients with type 2 DM.
  
  
  METHODS
  The cross-sectional study enrolled type 2 diabetic patients without insulin regimen. The participants were assigned to three groups according to status of SMBG: group 1- regular, group 2 - irregular and group 3 - never SMBG implementation.
  
  
  RESULTS
  A total of 349 patients were enrolled. There was no significant difference in mean fasting and post-prandial blood glucose, lipid profile values between the groups. The number of patients with high education level in group 1 was higher than groups 2 and 3 (p = 0.001). HbA1c level was higher in groups 2 and 3 than group 1, but not significantly (p = 0.285). Mean spot urinary albumin- creatinine ratio (ACR) in group 1 is significantly lower than in groups 2 and 3 (p = 0.008 and p = 0.044, respectively), but no significant difference was observed between group 2 and 3 (p = 0.473).
  
  
  CONCLUSIONS
  The study indicated that regular use of SMBG was not superior to irregular/never use of SMBG on glycemic control, but it seemed to be good intervention for prevention of diabetic nephropathy. We suggestively offered that SMBG should be recommended for patients with a high education level to meet the goal of its use, and it should be incorporated into self-management with effective educational intervention.
authors.affiliation: Department of Family Medicine, Duzce University, Duzce, Turkey. davutbaltaci@hotmail.com
authors.forename: Davut
authors.initials: D
authors.lastname: Baltaci
authors.forename: Ali
authors.initials: A
authors.lastname: Kutlucan
authors.forename: Serkan
authors.initials: S
authors.lastname: Ozturk
authors.forename: Ayhan
authors.initials: A
authors.lastname: Saritas
authors.forename: Ahmet
authors.initials: A
authors.lastname: Celer
authors.forename: Gokham
authors.initials: G
authors.lastname: Celbek
authors.forename: Harun
authors.initials: H
authors.lastname: Deler
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Aydin
authors.forename: Handan
authors.initials: H
authors.lastname: Ankarali
mesh_terms: D001786:Blood Glucose / Q000032:analysis*; D015190:Blood Glucose Self-Monitoring; D003924:Diabetes Mellitus, Type 2 / Q000097:blood*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged
chemical_list: D001786:Blood Glucose