Diabetes mellitus type 2 is often called the “silent killer”. He may spend long periods not to attract attention, and even a single symptom of the disease manifested in the patient, should be cause for serious concern. It is believed that the development of type 2 diabetes is partly a result of genetic factors and partly to unhealthy lifestyles. Obesity, metabolic syndrome, impaired communication between the cells — all this can provoke the disease.
Typically, patients receiving a diagnosis of “diabetes type 2” insulin is not immediately assigned. Instead, doctors suggest them to take it a rule to constantly monitor your lifestyle and glucose levels, as well as to consult regularly with a specialist. However, in new work it was shown that self-control does not increase due to the state of health quality of life of patients with type 2 diabetes.
Moreover, the results of the study suggest that self-monitoring should not be routine practice, we offer patients with this diagnosis. Many patients do not use insulin, regularly use blood glucose meters, devices for measuring blood glucose level. However, the feasibility of this approach is still the subject of lively debate in the professional community.
Katrina Donahue (Donahue Katrina) and Laura young (Laura Young) from the University of North Carolina at chapel hill (University of North Carolina at Chapel Hill) conducted a study involving patients 15 General practitioners working in North Carolina. In total, the work included 750 patients with diabetes type 2 diabetes and not receiving insulin.
The average age of the participant in the study was 61 years, mean disease duration 8 years. 75% of the volunteers were regularly measured the blood glucose level.
The patients were divided into three groups. The participants of the first did not use the glucometers, the participants of the second — analyzed once a day. Volunteers from the third group not just measured glucose level, but also receive extended feedback from the meter.
In the course of the study, participants assessed the level of glycated hemoglobin, since this figure reflects the long-term quality of glucose control. In addition, the researchers examined associated with the state of health quality of life of volunteers. Both parameters were evaluated during the year.
Significant differences in quality of life among participants from all three groups could not be found. As for the level of glycated hemoglobin at the beginning of the group work daily to measure the level of glucose, indeed there has been some improvement. However, by the end of the study, the difference between groups was no longer statistically significant.
The study did not determine the effectiveness of self-control in certain clinical situations, for example, the introduction of a new drug or change the dose already prescribed medications. In addition, the study authors noted that the results are not applicable to patients receiving insulin.
However, according to the study, regular measurement of glucose level is not indicated in most patients with diabetes type 2 diabetes not taking insulin.