Self-monitoring of blood glucose experiences of adults with type 2 diabetes

Lucie B. Dlugasch, Doris N. Ugarriza

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Purpose: The purpose of this study was to analyze the experiences of self-monitoring of blood glucose (SMBG) usage of adults with type 2 diabetes mellitus (T2DM) who are not using insulin. Data sources: Nineteen adults were asked to describe their experiences with self-monitoring. Data were analyzed using the grounded theory method. Conclusions: The theory of "SMBG as a Cue in T2DM Self-Care" emerged from the data and is composed of four categories: (a) Engaging, (b) Checking, (c) Responding, and (d) Establishing a Pattern. Engaging marks the beginning. Frequent monitoring characterizes this stage. Checking involves evaluating and validating the blood glucose level. The most common item evaluated or validated was the effect of foods. Responding involves taking action or experiencing emotion. Actions taken centered on dietary changes. Emotions felt were dependent on the level and ranged from blame to happiness. Participants established a pattern and used SMBG regularly or sporadically. Frequency was based on obtaining "normal" patterns, the absence of symptoms, provider disinterest, and fingertip pain. Implications for practice: Participants described many benefits and struggles when incorporating SMBG into their self-care. Information from this study could be used to develop effective guidelines for the use of SMBG in T2DM.

Original languageEnglish (US)
Pages (from-to)323-329
Number of pages7
JournalJournal of the American Association of Nurse Practitioners
Volume26
Issue number6
DOIs
StatePublished - Jun 2014

Keywords

  • Diabetes mellitus
  • Self-monitoring of blood glucose
  • Self-monitoring of blood glucose experiences
  • Type 2 diabetes mellitus

ASJC Scopus subject areas

  • Nursing(all)

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