Physicians' Views of Self-Monitoring of Blood Glucose in Patients With Type 2 Diabetes Not on Insulin

作者：Havele Sonia A^*; Pfoh Elizabeth R; Yan Chen; Misra Hebert Anita D; Le Phuc; Rothberg Michael B

来源：Annals of Family Medicine, 2018, 16(4): 349-352.

DOI：10.1370/afm.2244

• Self-monitoring of blood glucose (SMBG)
• glucose monitoring
• home monitoring
• glucometer
• test strips
• non-insulin-treated type 2 diabetes
• insulin naive diabetes
• HbA(1c)
• evidence-based medicine

This qualitative study examines to what extent and why physicans still prescribe self-monitoring of blood glucose (SMBG) in patients with non-insulin-treated type 2 diabetes (NITT2D) when the evidence shows it increases cost without improving hemoglobin A(1c) (HbA(1c)), general well being, or health-related quality of life. Semistructured phone interviews with 17 primary care physicians indicated that the majority continue to recommend routine self-monitoring of blood glucose due to a compelling belief in its ability to promote the lifestyle changes needed for glycemic control. Targeting physician beliefs about the effectiveness of self-monitoring of blood glucose, and designing robust interventions accordingly, may help reduce this practice.

• 出版日期2018-8