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Evaluation of errors in the use of glucose meters in elderly patients

Year 2019, Volume: 44 Issue: Supplement 1, 241 - 250, 29.12.2019
https://doi.org/10.17826/cumj.563871

Abstract

Purpose: The aim of this study is to detect the mistakes elderly patients with diabetes mellitus make while using a blood glucose meter at home and the frequency of such mistakes, and the factors that impact such mistakes, and to research the effect of individual training on the mistakes.

Materials and Methods: Elderly diabetic patients who used blood glucose meter were included in the study.. The patients were asked to measure their blood glucose with their personal blood glucose meter. Accordingly, an assessment form of 13 parameters which assessed the correct use of blood glucose meter was filled in. The patients were given an education on the proper use of glucometers, which lasted 45 minutes on average. The same patients were reassessed one month later in terms of correct use of blood glucose meter.

Results: A total of 73 patients were recruited in the study. A total of 21 patients, 10 of whom were female and 11 of whom were male, were excluded from the study since they did not come to control. A total of 52 patients, 33 female, and 19 male, were included in the study. After the training, the number of patients who checked meter code increased from 50% to 80%, who washed and dried their hands before measuring from increased 58% to 96%, who replaced the needle of blood glucose meter from increased 44% to 96% There was no correlation between age, education, duration of diabetes, number of drugs used, type of treatment, number of diseases, and device proper use rates.

Conclusion: Incorrect use of glucometers by elderly diabetic patients is a common problem. This problem may be solved utilizing detailed, one-to-one, and repeated education. 


References

  • 1. Mesut Gümüşsoy, Remzi Bahşi, Deniz Mut Sürmeli, Tuğba Turgut, Hande Selvi Öztorun, Volkan Atmış, Murat Varlı, Sevgi Aras, Yaşlılarda Hatalı İnsülin Kullanımı ve İnsülin Eğitiminin Etkisi / Insulin Misusage and Affect of Insulin Education in the Elderly. Van Medical Journal, 2018. 25 (3): p. 323-331.
  • 2. Şule Canlar, Murat Cinel, Yaşlıda Endokrinolojik Sistem. Yaşlılarda Sık Görlen Durumlar-2 Kronik Hastalıklar, ed. M. Varlı. 2018: Hedef CS Basın Yayın.
  • 3. M. Sue Kirkman, Vanessa Jones Briscoe, Nathaniel Clark, Hermes Florez, Linda B. Haas, Jeffrey B. Halter, Elbert S. Huang, Mary T. Korytkowski, Medha N. Munshi, Peggy Soule Odegard, Richard E. Pratley,Carrie S. Swift,Diabetes in Older Adults: A Consensus Report. Journal of the American Geriatrics Society, 2012. 60(12): p. 2342-2356.
  • 4. Nathan DM, Genuth S, Lachin J, Cleary P, Crofford O, Davis M, Rand L, Siebert C, Diabetes Control and Complications Trial Research Group, The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl J Med, 1993. 329(14): p. 977.
  • 5. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). Lancet, 1998. 352(9131): p. 837-853.
  • 6. Hortensius J, Kleefstra N, Slingerland R J, Fokkert M J, Groenier K H, Houweling S T, Bilo H J G, The influence of a soiled finger in capillary blood glucose monitoring. Netherlands Journal of Medicine, 2010. 68(7-8): p. 330-331.
  • 7. Hortensius J,Slingerland R J,Fokkert M J, Kleefstra N, Groenier K H, Houweling S T, Gans R O B, Bilo H J G, Improving the reliability of capillary blood glucose monitoring: using the first or second drop of blood. Diabetologia, 2010. 53.
  • 8. Hortensius J, Slingerland RJ, Kleefstra N, Logtenberg SJ, Groenier KH, Houweling ST, Bilo HJ, Self-Monitoring of Blood Glucose: The Use of the First or the Second Drop of Blood. Diabetes Care, 2011. 34(3): p. 556-560.
  • 9. Bergenstal R, Pearson J, Cembrowski GS, Bina D, Davidson J, List S, Identifying variables associated with inaccurate selfmonitoring of blood glucose: proposed guidelines to improve accuracy. Diabetes Educ, 2000. 26: p. 981-989.
  • 10. Baum JM, Monhaut NM, Parker DR, Price CP, Improving the quality of self-monitoring blood glucose measurement: A study in reducing calibration errors. Diabetes Technology & Therapeutics, 2006. 8(3): p. 347-357.
  • 11. Raine C H, Self-monitored blood glucose: a common pitfall. Endocrine Practice, 2003. 9: p. 137-139.
  • 12. Fruhstorfer H, Quarder O, Blood glucose monitoring: milking the finger and using the first drop of blood give correct glucose values. Diabetes Res Clin Pract. , 2009. 85: p. 14-15.
  • 13. Guideline, A.D.A., Self monitoring blood glucose. 2019.
  • 14. Hortensius J, Van der Bijl J J, Kleefstra N, Houweling S T, Bilo HJ, Self-Monitoring of Blood Glucose: Professional Advice and Daily Practice of Patients With Diabetes. Diabetes Educator, 2012. 38(1): p. 101-107.
  • 15. Guideline, Self Monitoring of Blood Glucose (SMBG). Diabetes.co.uk, 2019.
  • 16. Inspectorate, T.N.H.C. recommendations for self-monitoring of blood glucose. 2019 [cited 2019 april 24 2018].
  • 17. Yum S I, Roe J, Capillary blood sampling for self-monitoring of blood glucose. Diabetes Technol Ther, 1999. 1: p. 29-37.
  • 18. Heinemann L , Finger pricking and pain: a never ending story. J Diabetes Sci Technol, 2008. 2: p. 919-921.
  • 19. The National Steering Committee for Quality Assurance in Capillary Blood Glucose Monitoring, Proposed strategies for reducing error in capillary blood glucose monitoring. Diabetes Care, 1993. 2: p. 493-498.

Yaşlı hastalarda şeker ölçüm cihazı kullanımında yapılan hataların değerlendirilmesi

Year 2019, Volume: 44 Issue: Supplement 1, 241 - 250, 29.12.2019
https://doi.org/10.17826/cumj.563871

Abstract

Amaç: Bu çalışmada; şeker ölçüm cihazlarının, yaşlı diyabetes mellituslu hastalar tarafından evde kullanımında yapılan hataların ve bu hataların sıklığının, bu hataları etkileyen faktörlerin tespiti ve bireysel eğitimin hatalar üzerine etkisinin araştırılması amaçlanmıştır.  

Gereç ve Yöntem: Çalışmaya şeker ölçüm cihazı kullanan yaşlı diyabetik hastalar alındı. Hastalardan kan şekerlerini kendi şeker ölçüm cihazları ile ölçmeleri istendi. Buna göre şeker ölçüm cihazının doğru kullanımını değerlendiren 13 parametrelik bir değerlendirme formu dolduruldu. Hastalara ortalama 45 dakika süren doğru şeker ölçüm cihaz kullanımı eğitimi verildi. Bir ay sonra aynı hastalar doğru şeker ölçüm cihazı kullanımı açısından tekrar değerlendirildi.

Bulgular:  Çalışmaya 73 hasta dahil edildi. 10 kadın, 11 erkek, toplam 21 hasta kontrole gelmediğinden çalışmadan çıkarıldı. Çalışma 33’ü kadın, 19’u erkek toplam 52 hasta ile tamamlandı. Eğitim sonrası, cihaz kodunu kontrol eden hasta sayısı %50’den %80’e, ölçüm öncesi elini yıkayan ve elini kurulayan hasta sayısı %58’den %96’ya, şeker ölçüm iğnesini değiştiren hasta sayısı %44’den %96’ya, yükseldi. Yaş, eğitim durumu, diyabet süresi, kullanılan ilaç sayısı, tedavi şekli, hastalık sayısı ve cihaz doğru kullanım oranları arasında ilişki saptanmadı.

Sonuç: Sonuç olarak, yaşlı diyabetik hastalarda şeker ölçüm cihazının yanlış olarak kullanılması sık olarak görülen bir problemdir. Ancak ayrıntılı, birebir verilen ve tekrarlanan eğitimle bu sorun çözülebilir.


References

  • 1. Mesut Gümüşsoy, Remzi Bahşi, Deniz Mut Sürmeli, Tuğba Turgut, Hande Selvi Öztorun, Volkan Atmış, Murat Varlı, Sevgi Aras, Yaşlılarda Hatalı İnsülin Kullanımı ve İnsülin Eğitiminin Etkisi / Insulin Misusage and Affect of Insulin Education in the Elderly. Van Medical Journal, 2018. 25 (3): p. 323-331.
  • 2. Şule Canlar, Murat Cinel, Yaşlıda Endokrinolojik Sistem. Yaşlılarda Sık Görlen Durumlar-2 Kronik Hastalıklar, ed. M. Varlı. 2018: Hedef CS Basın Yayın.
  • 3. M. Sue Kirkman, Vanessa Jones Briscoe, Nathaniel Clark, Hermes Florez, Linda B. Haas, Jeffrey B. Halter, Elbert S. Huang, Mary T. Korytkowski, Medha N. Munshi, Peggy Soule Odegard, Richard E. Pratley,Carrie S. Swift,Diabetes in Older Adults: A Consensus Report. Journal of the American Geriatrics Society, 2012. 60(12): p. 2342-2356.
  • 4. Nathan DM, Genuth S, Lachin J, Cleary P, Crofford O, Davis M, Rand L, Siebert C, Diabetes Control and Complications Trial Research Group, The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl J Med, 1993. 329(14): p. 977.
  • 5. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). Lancet, 1998. 352(9131): p. 837-853.
  • 6. Hortensius J, Kleefstra N, Slingerland R J, Fokkert M J, Groenier K H, Houweling S T, Bilo H J G, The influence of a soiled finger in capillary blood glucose monitoring. Netherlands Journal of Medicine, 2010. 68(7-8): p. 330-331.
  • 7. Hortensius J,Slingerland R J,Fokkert M J, Kleefstra N, Groenier K H, Houweling S T, Gans R O B, Bilo H J G, Improving the reliability of capillary blood glucose monitoring: using the first or second drop of blood. Diabetologia, 2010. 53.
  • 8. Hortensius J, Slingerland RJ, Kleefstra N, Logtenberg SJ, Groenier KH, Houweling ST, Bilo HJ, Self-Monitoring of Blood Glucose: The Use of the First or the Second Drop of Blood. Diabetes Care, 2011. 34(3): p. 556-560.
  • 9. Bergenstal R, Pearson J, Cembrowski GS, Bina D, Davidson J, List S, Identifying variables associated with inaccurate selfmonitoring of blood glucose: proposed guidelines to improve accuracy. Diabetes Educ, 2000. 26: p. 981-989.
  • 10. Baum JM, Monhaut NM, Parker DR, Price CP, Improving the quality of self-monitoring blood glucose measurement: A study in reducing calibration errors. Diabetes Technology & Therapeutics, 2006. 8(3): p. 347-357.
  • 11. Raine C H, Self-monitored blood glucose: a common pitfall. Endocrine Practice, 2003. 9: p. 137-139.
  • 12. Fruhstorfer H, Quarder O, Blood glucose monitoring: milking the finger and using the first drop of blood give correct glucose values. Diabetes Res Clin Pract. , 2009. 85: p. 14-15.
  • 13. Guideline, A.D.A., Self monitoring blood glucose. 2019.
  • 14. Hortensius J, Van der Bijl J J, Kleefstra N, Houweling S T, Bilo HJ, Self-Monitoring of Blood Glucose: Professional Advice and Daily Practice of Patients With Diabetes. Diabetes Educator, 2012. 38(1): p. 101-107.
  • 15. Guideline, Self Monitoring of Blood Glucose (SMBG). Diabetes.co.uk, 2019.
  • 16. Inspectorate, T.N.H.C. recommendations for self-monitoring of blood glucose. 2019 [cited 2019 april 24 2018].
  • 17. Yum S I, Roe J, Capillary blood sampling for self-monitoring of blood glucose. Diabetes Technol Ther, 1999. 1: p. 29-37.
  • 18. Heinemann L , Finger pricking and pain: a never ending story. J Diabetes Sci Technol, 2008. 2: p. 919-921.
  • 19. The National Steering Committee for Quality Assurance in Capillary Blood Glucose Monitoring, Proposed strategies for reducing error in capillary blood glucose monitoring. Diabetes Care, 1993. 2: p. 493-498.
There are 19 citations in total.

Details

Primary Language Turkish
Subjects Geriatrics and Gerontology
Journal Section Research
Authors

Volkan Atmış 0000-0002-0080-6448

Seçkin Ahlat This is me 0000-0001-9428-5892

Özlem Karaarslan Cengiz 0000-0003-0850-1777

Ahmet Yalçın 0000-0001-9472-2212

Sevgi Aras 0000-0002-5356-303X

Teslime Atlı This is me

Publication Date December 29, 2019
Acceptance Date July 27, 2019
Published in Issue Year 2019 Volume: 44 Issue: Supplement 1

Cite

MLA Atmış, Volkan et al. “Yaşlı Hastalarda şeker ölçüm Cihazı kullanımında yapılan hataların değerlendirilmesi”. Cukurova Medical Journal, vol. 44, 2019, pp. 241-50, doi:10.17826/cumj.563871.