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Cited by 30Diabetes Management and ResearchDiabetes Management and EducationDiabetes Treatment and Management

Primary care physicians identify and act upon glycemic abnormalities found in structured, episodic blood glucose monitoring data from non-insulin-treated type 2 diabetes

Polonsky, William H., Jelsovsky, Zhihong, Panzera, Susanne, Parkin, Christopher G., Wagner, Robin S.·2009·Diabetes Technology & Therapeutics
DOI 10.1089/dia.2008.0087
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Abstract

BACKGROUND: The purpose of this study was to determine if primary care physicians could utilize data collection tools to accurately identify glycemic abnormalities in structured, episodic self-monitoring of blood glucose (SMBG) data from patients with non-insulin-treated type 2 diabetes and whether use of these SMBG data would influence their therapeutic decisions. METHODS: Twenty-three case studies demonstrating several glycemic states (normoglycemia, elevated fasting glucose, elevated postprandial glucose, all elevated glucose, and hypoglycemia) were presented to 61 primary care physicians who evaluated the cases based upon A1C data, alone and then in combination with SMBG data. SMBG data were presented in five formats. Participants were to identify the specific glucose pattern, determine the necessity for therapy change, and select specific therapeutic changes. Participant assessments were compared with assessments made by a panel of diabetes care specialists. RESULTS: Most (78%) participants identified the same primary blood glucose feature identified by the diabetes specialists; 93.8% agreed with the diabetes care specialists regarding the need for therapy modification. The majority (77%) of participants changed the way they would manage the case after evaluating case studies with SMBG data made available to them. Eighty-six percent of participants considered the SMBG data to be of equal value or more valuable than an A1C test result; 71% of participants strongly agreed that they are now more likely to recommend structured, episodic SMBG to their non-insulin-treated type 2 diabetes mellitus patients. CONCLUSIONS: Primary care physicians can correctly identify glycemic abnormalities in SMBG data obtained through structured, episodic SMBG. Additional studies are needed to determine the clinical impact of similar testing regimens in primary care practice settings.

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Authors
Polonsky, W. H., Jelsovsky, Z., Panzera, S., Parkin, C. G., & Wagner, R. S.
Affiliations
  • University of California San Diego (US)
  • BioStat International, Inc., Tampa, Florida.
  • CGParkin Communications, Inc., Carmel, Indiana.
  • Roche Diagnostics, Indianapolis, Indiana.
Corresponding author
Parkin, Christopher G.
ORCID
Venue
Diabetes Technology & Therapeutics
Publisher
SAGE Publications
Published
2009-05
Volume
11
Issue
5
Pages
283-291
ISSN
  • 1520-9156 (ISSN-L)
  • 1557-8593
DOI
10.1089/dia.2008.0087
OpenAlex
W1982022591
Cited by
30
References
15
Citations by year
2020: 3 · 2019: 1 · 2018: 1 · 2017: 3 · 2016: 3 · 2015: 2 · 2014: 1 · 2013: 3 · 2012: 2
FWCI
3.15
Type
journal article
Language
en
Open access
closed
Licence
www.liebertpub.com/nv/resources-tools/text-and-data-mining-policy/121/ (tdm)
Locations
  • Diabetes Technology & Therapeutics (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
Keywords
type 2 diabetes, non-insulin-treated diabetes, self-monitoring of blood glucose, glycemic abnormalities, primary care physicians, physician decision-making, HbA1c, postprandial blood glucose, fasting blood glucose, hypoglycemia, diabetes management
MeSH terms
Adult, Diabetes Mellitus, Type 2, Educational Status, Fasting, Female, Glycated Hemoglobin, Humans, Hyperglycemia, Male, Middle Aged, Patient Education as Topic, Physician-Patient Relations, Physicians, Family, Surveys and Questionnaires, Self Care, Blood Glucose Self-Monitoring, Postprandial Period

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