Frequency of self‐adjustment of insulin dose and metabolic control in Type 2 diabetes –is there an association?. Issue 3 (20th February 2013)

• Record Type: Journal Article
• Authors: Beluchin, E.; Bäz, L.; Müller, N.; Lehmann, T.; Kloos, C.; Wolf, G.; Müller, U. A.
• Is Part Of: Diabetic medicine. Volume 30:Issue 3(2013:Mar.)
• Page Start: e91
• Page End: e94
• Publication Date: 2013-02-20
• Subjects: Diabetes -- Periodicals; 616.462
• DOI: 10.1111/dme.12071
• Languages: English
• ISSNs: 0742-3071

Abstract

<abstract abstract-type="main" id="dme12071-abs-0001"> <title>Abstract</title> <sec id="dme12071-sec-0001" sec-type="section"> <title>Aim</title> <p>To investigate the supposition that self‐adjustment of insulin dose will improve metabolic control in patients with Type 2 diabetes.</p> </sec> <sec id="dme12071-sec-0002" sec-type="section"> <title>Methods</title> <p>The number of self‐adjustments of insulin dose was checked in a cross‐sectional study involving 300 patients with Type 2 diabetes in a university outpatient department, who were insulin treated.</p> </sec> <sec id="dme12071-sec-0003" sec-type="section"> <title>Results</title> <p>One hundred and ninety‐three patients (64%) performed insulin dose adjustments at least once in 14 days. The mean number of dose adjustments was 17.4 per 14 days. Patients with self‐adjustments of insulin dose were younger (65.6 vs. 68.9 years), had a higher social status score (11.1 vs. 9.8) and a higher insulin dose (68.8 vs. 53.6 IU/day) than patients without dose adjustments. Each insulin dose adjustment was associated with an HbA<sub>1c</sub> decrease of 0.016% (<italic>P</italic> = 0.004). Any additional blood glucose self measurement was associated with an HbA<sub>1c</sub> increase of 0.019% (<italic>P</italic> = 0.038).</p> </sec> <sec id="dme12071-sec-0004" sec-type="section"> <title>Conclusions</title> <p>Two‐thirds of patients with Type 2 diabetes, who have undergone training in how to manage their condition, practise insulin dose self‐adjustments. A weak association was observed between insulin dose adjustments and HbA<sub>1c</sub>.</p> </sec> </abstract>