The association between self-monitoring of blood glucose, hemoglobin A1C and testing patterns in community pharmacies: Results of a pilot study

Canadian Pharmacists Journal : CPJ = Revue Des Pharmaciens Du Canada : RPC
Kerry MansellShellina Sevany

Abstract

To determine if pharmacists providing advice on self-monitoring of blood glucose (SMBG) to new meter users, based on the Canadian Diabetes Association (CDA) Clinical Practice Guidelines (CPGs), resulted in improvements in A1C. SMBG testing patterns and pharmacist interactions were also observed. A cluster randomized, pilot study was performed, with pharmacies randomized to an intervention or control group. The intervention group provided SMBG education according to the CDA CPGs at baseline, 2 weeks, 1 month and 3 months; the control group provided usual care. The primary endpoint was the mean change in A1C measured at 6 months. Secondary endpoints included a description of SMBG patterns and lifestyle changes and were determined via a self-administered questionnaire. Thirty-six participants (26 intervention, 10 control) were recruited from 9 pharmacies across Saskatchewan, Canada. Mean A1C decreased by -1.69 and -0.70 in the intervention and control groups, respectively (p = 0.376). A total of 12 of 26 (46.2%) participants in the intervention group indicated they performed SMBG ≥7 times per week; 75% (9/12) of these were controlled by lifestyle or metformin alone. When applicable, most participants in the intervention group indi...Continue Reading

References

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May 16, 2014·Canadian Journal of Diabetes·Lori D BerardVincent Woo

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Citations

Mar 24, 2016·Journal of the American Pharmacists Association : JAPhA·Patrick G Clay
Sep 5, 2018·The Cochrane Database of Systematic Reviews·Mícheál de BarraMargaret C Watson
Dec 7, 2019·The Cochrane Database of Systematic Reviews·Liz SteedR T Walton

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