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
Open accessAbstract
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.
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Forty-four RCTs examined the impact of interventions on disease-specific outcomes.
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- Authors
- Mastura, I., Teng, C., Mimi, O., Ho, B., Kusiar, Z., & Hasim, R.
- Affiliations
- Selangor Business School (MY)
- Corresponding author
- Hasim, R
- Venue
- Singapore Medical Journal
- Publisher
- Medknow
- Published
- 2013-07
- Volume
- 54
- Issue
- 07
- Pages
- 391-395
- ISSN
- 0037-5675 (ISSN-L)
- OpenAlex
- W2083286702
- Cited by
- 12
- References
- 31
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 1 · 2022: 3 · 2019: 3 · 2018: 1 · 2016: 1 · 2015: 1
- FWCI
- 0.52
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc-sa
- Locations
- Singapore Medical Journal (publishedVersion, cc-by-nc-sa)
- 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
- self-monitoring of blood glucose, blood glucose meters, type 2 diabetes, glycemic control, HbA1c, primary care, diabetes self-care, feasibility
- MeSH terms
- Adult, Aged, Diabetes Mellitus, Type 2, Female, Glycated Hemoglobin, Humans, Malaysia, Male, Middle Aged, Primary Health Care, Blood Glucose Self-Monitoring
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