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To analyze the frequency and influencing factors of blood glucose self-monitoring of blood glucose (SMBG) in Chinese patients with type 2 diabetes mellitus by meta-analysis.
By searching literature in the databases of CNKI, VIP, CBM, Wan Fang Data, PubMed, Embase, Web of science, CINAHL, and the Cochrane Library from the establishment of the database to May 26, 2023, cross-sectional studies on the SMBG frequency standard rate and its influencing factors in Chinese patients with type 2 diabetes were searched. Two researchers independently screened the literature and extracted the data, and meta-analysis was carried out by using Stata 17.0 software.
A total of 17 studies were included, including 14 343 patients with type 2 diabetes, of which 3 403 met the SMBG standard. The results of meta-analysis showed that the reaching standard rate of SMBG frequency in Chinese patients with type 2 diabetes was 26.4%(95%CI: 21.0%-31.8%). Based on the subgroup analysis of evaluation tools, regions, and sample sources, the results showed that the reaching standard rate of evaluation using the applicable guidelines for type 2 diabetes was 33.4% (95%CI: 24.8%-42%), and that using the guidelines for the prevention and treatment of type 2 diabetes was 19.1% (95%CI:11.9%-26.3%). The reaching standard rate of the eastern region was 26.9% (95%CI: 17.8%-36%), and that of the central region was 25.6% (95%CI: 17.5%-33.8%). The reaching standard rate was 27.3%(95%CI: 22.6%-32.1%) when the sample source was hospital and 12.1% (95%CI: 2.6%-21.7%) when the sample source was community. The influencing factors of SMBG reaching standard rate were higher education level (OR=1.591, 95%CI: 1.269-1.994), high income family (OR=1.751, 95%CI: 1.048-2.925), self-efficacy score (OR=2.592, 95%CI: 1.148-5.855), insulin (OR=2.193, 95%CI: 1.561-3.080), long course of disease (OR=1.035, 95%CI: 1.035-1.073), and having received SMBG-related health education (OR=2.195, 95%CI: 1.376-3.499).
The evidence results show that the SMBG frequency of Chinese patients with type 2 diabetes mellitus is low. The patients with higher education level, high income family, high self-efficacy, insulin as hypoglycemic regimen, long course of disease, and receiving SMBG-related health education have higher rate of reaching the standard frequency.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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