A study of pattern management performed by nurses certified in diabetes nursing in Japan and clarification of the related factors
DOI:
https://doi.org/10.1080/20573316.2015.1103436Keywords:
Pattern management, SMBG, Diabetes education, Nurses certified in diabetes nursing, Questionnaire surveyAbstract
Introduction: To reveal the actual conditions of blood glucose pattern management (BGPM) performed by nurses certified in diabetes nursing (DCNs) in Japan and clarification of the related factors. DCNs are the specialists for people with diabetes and are certified by the Japanese Nursing Association (JNA). BGPM refers to a method aimed at improving blood glucose control by ascertaining changes (patterns) in blood glucose levels and conducting a systematic and multi-dimensional analysis of the factors contributing to these patterns.
Method: Subjects were DCNs (n = 303) whose names and affiliations were publicly available on the JNA website in November 2011. The study was conducted through a postal questionnaire, involving items about how they were conducting guidance, the details of the BGPM (i.e. method and target) and the state of their overview of facilities, from January 2012 to February 2012.
Result: The questionnaire was returned by 148 respondents. Regarding the statement ‘Looking with the people with diabetes for patterns in their blood glucose levels brings unexpected discoveries’, 140 (95.2%) selected ‘Agree’ or ‘Somewhat agree’. The respondents’ coefficient analyses showed a significant correlation between ‘I am very good at finding changes (patterns) in blood glucose or HbA1c levels’ and ‘The doctors at our facility are cooperative when it comes to BGPM’.
Conclusion: In this study, most of the DCNs performed BGPM for people with diabetes and recognized that performing BGPM has been useful for most people with diabetes. In addition, building a good relationship between doctors and nurses is suggested for performing BGPM effectively.
Downloads
References
Hinnen DA, Guthrie DW, Child BP, Friesen J, Rhiley DS, Guthrie RA. A core curriculum for diabetes education diabetes management therapies. In: Franz MJ, editors. Pattern management of blood glucose. Chicago: American Association of Diabetes Educators; 2003. p. 215–45.
Powers MA. Glucose pattern management teaches glycemia-related problem-solving skills in a diabetes self-management education program. Diabetes Spectrum 2013;26:91–7. doi: 10.2337/diaspect.26.2.91
Austin MM, Haas L, Johnson T, et al. Self-monitoring of blood glucose: benefits and utilization. Diabetes Educ. 2006;32:835–6, 884–7. doi: 10.1177/0145721706295873
Diabetes Control and Complications Trial (DCCT) 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;329:977–8. doi: 10.1056/NEJM199309303291401
Abraira C, Colwell JA, Nuttall FQ, et al. Veterans affairs cooperative study on glycemic control and complications in type II diabetes (VA CSDM). Results of the feasibility trial. Veterans Affairs Cooperative Study in Type II Diabetes. Diabetes Care 1995;18:1113–23. doi: 10.2337/diacare.18.8.1113
Silva DD, Bosco AA. An educational program for insulin self-adjustment associated with structured self-monitoring of blood glucose significantly improves glycemic control in patients with type 2 diabetes mellitus after 12 weeks: a randomized controlled pilot study. Diabetol Metabol Syndr. 2015;7:2–9. doi: 10.1186/1758-5996-7-2
Polonsky WH, Fisher L, Schikman CH, et al. Structured self-monitoring of blood glucose significantly reduces A1C levels in poorly controlled, noninsulin-treated type 2 diabetes: results from the Structured Testing Program study. Diabetes Care 2011;34:262–67. doi: 10.2337/dc10-1732
Jansen JP. Self-monitoring of glucose in type 2 diabetes mellitus: a Bayesian meta-analysis of direct and indirect comparisons. Curr Med Res Opin. 2006;22:671–81. doi: 10.1185/030079906X96308
Minder AE, Albrecht D, Schäfer J, et al. Frequency of blood glucose testing in well educated patients with diabetes mellitus type 1: how often is enough? Diabetes Res Clin Practice 2013;101:57–61. doi: 10.1016/j.diabres.2012.12.024
AADE (2014) Core Concepts the Art & Science of Diabetes Education Continuing education program for diabetes educators supplementary course materials (http://www.diabeteseducator.org/export/sites/aade/_resources/pdf/core_concepts/supplementary_course_materials.pdf).
Parkin CG, Davidson JA. Value of self-monitoring blood glucose pattern analysis in improving diabetes outcomes. J Diabetes Sci Technol. 2009;3:500–8. doi: 10.1177/193229680900300314
Linekin PL. Diabetes pattern management: the key to diabetes management and glycemic control. Home Healthcare Nurse. 2002;20:168–77. doi: 10.1097/00004045-200203000-00009
Breland JY, McAndrew LM, et al. Using the common sense model of self-regulation to review the effects of self-monitoring of blood glucose on glycemic control for non-insulin-treated adults with type 2 diabetes. Diabetes Educ. 2013;39:541–59. doi: 10.1177/0145721713490079
Katz LB. Benefits to health care professionals and patients with diabetes of a novel blood glucose meter that provides pattern recognition and real-time automatic messaging compared to conventional paper logbooks. Int Diabetes Nurs. 2015;12:27–33. doi: 10.1179/2057332415Y.0000000001
International Diabetes Federation Clinical Guidelines Taskforce in Collaboration with the SMBG International Working Group. Guideline on self-monitoring of blood glucose in non-insulin treated Type 2 diabetes; 2009.
DAFNE Study Group. Training in flexible, intensive insulin management to enable dietary in people with type 1 diabetes: Dose adjustment for normal eating (DAFNE) randomized controlled trial. Br Med J. 2002;325:746–9. doi: 10.1136/bmj.325.7367.746
Lowe J, Linjawi S, Mensch M, et al. Flexible eating and flexible insulin dosing in patients with diabetes: results of an intensive self-management course. Diabetes Res Clin Practice 2008;80:439–43. doi: 10.1016/j.diabres.2008.02.003
Kubota M, Shindo Y, Kawaharada M. Identifying the contents of a type 1 diabetes outpatient care program based on the self-adjustment of insulin using the Delphi method. Jpn J Nurs Sci. 2014;11:299–309. diabetes pattern management. doi: 10.1111/jjns.12035
Choudhary P, Genovese S, Reach G. Blood glucose pattern management in diabetes: creating order from disorder. J Diabetes Sci Technol. 2013;7:1575–84.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2015 Foundation of European Nurses in Diabetes
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
