How people with diabetes integrate self-monitoring of blood glucose into their self-management strategies

Carol S Bond, Jaqui Hewitt-Taylor

Abstract


Background The benefit of self-monitoring of blood glucose by patients has been questioned, and UK policy is generally not to support this, although it is identified that there may be unidentified subgroups of people who would benefit from being supported to self-monitor. The purpose of this paper is to explore the self-management approaches of people with diabetes, and how self-testing of blood glucose contributes to self-management strategies.

Methods This qualitative study of patients’ experiences drew data from contributors to online discussion boards for people living with diabetes. The principles of qualitative content analysis were used on posts from a sample of four Internet discussion boards.

Results Contributors described how they were using self-testing within their selfmanagement strategies. Most saw it as a way of actively maintaining control of their condition. The amount of testing carried varied over time; more testing was done in the early days, when people were still learning how to stay in control of their diabetes. Some people had experienced a lack of support for self-testing from healthcare professionals, or had been expected to change their self-management to fit national policy changes. This was seen as unhelpful, demotivating, stressful, and harmful to the doctor–patient relationship.


Keywords


Diabetes mellitus; internet; self-management; self-monitoring blood glucose (SMBG); social media

Full Text:

HTML PDF

References


Anderson RM and Funnell MM. Patient empowerment: myths and misconceptions. Patient Education and Counseling 2010; 79(3):277–82. http://www.sciencedirect.com/science/article/pii/S0738399109003279; http://dx.doi.org/10.1016/j.pec.2009.07.025. PMid:19682830; PMCid:PMC2879465.

Group DCaCTR. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. The New England Journal of Medicine 1993;329(14):977–86. http://dx.doi.org/10.1056/ NEJM199309303291401. PMid:8366922.

Guerci B, Drouin P, Grangé V, Bougnères P, Fontaine P and Kerlan V et al. Self-monitoring of blood glucose significantly improves metabolic control in patients with type 2 diabetes mellitus: the Auto-Surveillance Intervention Active (ASIA) study. Diabetes & Metabolism 2003;29(6):587–94. http://www.sciencedirect.com/science/article/pii/S1262363607700733; http://dx.doi.org/10.1016/S1262-3636(07)70073-3.

Farmer A, Wade A, Goyder E, Yudkin P, French D and Craven A et al. Impact of self monitoring of blood glucose in the management of patients with non-insulin treated diabetes: open parallel group randomised trial. BMJ (Clinical research ed) 2007;335(7611):132. http://www.bmj.com/content/335/7611/132.

Peel E, Douglas M and Lawton J. Self monitoring of blood glucose in type 2 diabetes: longitudinal qualitative study of patients’ perspectives. BMJ (Clinical research ed) 2007;335(7618):493. http://www.bmj.com/content/335/7618/493; http://dx.doi.org/10.1136/bmj.39302.444572.DE. PMid:17761996; PMCid:PMC1971180.

SIGN. Management of Diabetes. National Clinical Guideline 116. Edinburgh: Scottish Intercollegiate Guidelines Network, 2010. www.sign.ac.uk/pdf/sign116.pdf.

Elo S and Kyngäs H. The qualitative content analysis process. Journal of Advanced Nursing 2008;62(1):107–15. http://dx.doi.org/10.1111/j.1365-2648.2007.04569.x. PMid:18352969

Hsieh HF and Shannon SE. Three approaches to qualitative content analysis. Qualitative Health Research 2005; 15(9):1277–88. http://dx.doi.org/10.1177/1049732305276687. PMid:16204405.

Flick U (Ed). An Introduction to Qualitative Research. Sage Publications Limited, 2009.

Hookway N. Entering the blogosphere: some strategies for using blogs in social research. Qualitative Research 2008;8(1): 91–113. http://qrj.sagepub.com/content/8/1/91.abstract.

Kierkegaard S. Twitter thou doeth? Computer Law & Security Review 2010;26(6):577–94. http://www.sciencedirect.com/science/article/pii/S026736491000141X.

Snee H. Realities Toolkit 10: Using Blog Analysis. Manchester: ESRC National Centre for Research Methods, 2010. http://www.socialsciences.manchester.ac.uk/morgancentre/realities/toolkits/blog-analysis/.

Snee H. Web 2.0 as a Social Science Research Tool. British Library, 2008.

Taparia AD. Effective delivery of diabetes care-team approach. Apollo Medicine 2006;3(2):244–5. http://www.sciencedirect.com/science/article/pii/S0976001611602056.

Nadkarni A, Kucukarslan SN, Bagozzi RP, Yates JF and Erickson SR. Examining determinants of self management behaviors in patients with diabetes: an application of the theoretical model of effortful decision making and enactment. Patient Education and Counseling 2011;85(2):148–53. http://www.sciencedirect.com/science/article/pii/S0738399110006075.

Benroubi M. Fear, guilt feelings and misconceptions: barriers to effective insulin treatment in type 2 diabetes. Diabetes Research and Clinical Practice 2011;93, Suppl 1(0):S97–S9. http://www.sciencedirect.com/science/article/pii/S0168822711700213.

Mezuk B, Eaton WW, Albrecht S and Golden SH. Depression and type 2 diabetes over the lifespan. Diabetes Care 2008;31(12):2383–90. http://care.diabetesjournals.org/content/ 31/12/2383.abstract.




DOI: http://dx.doi.org/10.14236/jhi.v21i1.11

Refbacks

  • There are currently no refbacks.


This is an open access journal, which means that all content is freely available without charge to the user or their institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal starting from Volume 21 without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open accessFor permission regarding papers published in previous volumes, please contact us.

Privacy statement: The names and email addresses entered in this journal site will be used exclusively for the stated purposes of this journal and will not be made available for any other purpose or to any other party.

Online ISSN 2058-4563 - Print ISSN 2058-4555. Published by BCS, The Chartered Institute for IT