The Impact of Self Blood Glucose Monitoring and Insulin Regimen on Glycemic Control among Children and Adolescents with Type 1 Diabetes MellitusAbdulmoein E Al-Agha1,2*, Shireen A Samargandy1, Ihab Abd elhameed Ahmed3 and Douaa Ahmed El Derwi4
- *Corresponding Author:
- Dr. Abdulmoein E. Al-Agha
FRCPCH, Assistant Professor and Consultant
Pediatric Endocrinologist, Department of Pediatrics
King Abdulaziz University Hospital
P.O. Box 80215, Jeddah 21589
Kingdom of Saudi Arabia
E-mail: [email protected]
Received date:March 12, 2015; Accepted date:May 11, 2015; Published date:May 14, 2015
Citation: Al-Agha AE, Samargandy SA, Abd elhameed Ahmed I, Derwi DAE (2015) The Impact of Self Blood Glucose Monitoring and Insulin Regimen on Glycemic Control among Children and Adolescents with Type 1 Diabetes Mellitus. J Diabetes Metab 6:548. doi: 10.4172/2155-6156.1000548
Copyright: ©2015 Al-Agha AE, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: Type 1 diabetes (T1DM) is a chronic metabolic disorder. Factors affecting glycemic control including insulin regimen and glucose monitoring are important aspects in management of this disease. Objective: We aimed to investigate the relationship between glycemic control measured as glycosylated hemoglobin (HbA1c) with self-monitoring of blood glucose (SMBG) and insulin regimen in children and adolescents with T1DM. Methods: A cross-sectional questionnaire-based study looking into SMBG and insulin regimens among children and adolescents diagnosed with T1DM in King Abdulaziz University Hospital. Results: The study population was composed of (n=230) patients. The mean level of HbA1c was 8.79. 2.58%. The majority of patients (98.6%) were on intensive insulin therapy. Most frequently used (84.5%) type of insulin regimen was the intermediate plus short acting insulin. Statistical analysis revealed no significant association between various factors such as gender, age, type of insulin, SMBG, nor glucose correction with glycemic control. Conclusion: SMBG and intensive insulin therapy were suggested in literature as predictors of well-controlled T1DM. However, in our Saudi population, the results were not statistically significant enough to make such an association. Nevertheless, it is good practice to emphasize the value of SMBG and regular insulin injections in improving diabetic care.