Self-monitoring of blood glucose: Use, frequency drivers, and cost in Argentina

Background: Although test strips for self-monitoring of blood glucose (SMBG) represent around 50% of diabetes treatment cost in Argentina, little is known about their current use and relationship with different types of treatment. We therefore aimed to estimate the current use of test strips and ide...

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Autores principales: Elgart, Jorge Federico, González, Lorena, Rucci, Enzo, Gagliardino, Juan José
Formato: Articulo
Lenguaje:Inglés
Publicado: 2014
Materias:
Acceso en línea:http://sedici.unlp.edu.ar/handle/10915/85030
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id I19-R120-10915-85030
record_format dspace
institution Universidad Nacional de La Plata
institution_str I-19
repository_str R-120
collection SEDICI (UNLP)
language Inglés
topic Ciencias Médicas
Prescription audit
Self-monitoring blood glucose
Self-monitoring blood glucose relative cost
Type 2 diabetes treatment
spellingShingle Ciencias Médicas
Prescription audit
Self-monitoring blood glucose
Self-monitoring blood glucose relative cost
Type 2 diabetes treatment
Elgart, Jorge Federico
González, Lorena
Rucci, Enzo
Gagliardino, Juan José
Self-monitoring of blood glucose: Use, frequency drivers, and cost in Argentina
topic_facet Ciencias Médicas
Prescription audit
Self-monitoring blood glucose
Self-monitoring blood glucose relative cost
Type 2 diabetes treatment
description Background: Although test strips for self-monitoring of blood glucose (SMBG) represent around 50% of diabetes treatment cost in Argentina, little is known about their current use and relationship with different types of treatment. We therefore aimed to estimate the current use of test strips and identify the major use drivers and the percentage they represent of total prescription costs in 2 entities of the social security system (SSS) of Argentina. Methods: Observational retrospective study measuring test strip prescriptions delivered by pharmacies from the province of Buenos Aires (8115 records collected during 3 months provided by the Colegio de Farmacéuticos de la Provincia de Buenos Aires) of affiliates with type 2 diabetes (T2DM) from 2 large entities of the SSS system. Results: The average monthly test strips/patient used for SMBG was 97.5 ± 70.1. This number varied according to treatment: monotherapy with oral antidiabetic drugs (OAD) < combined OAD therapy < insulin treatment. Test strips represented a higher percentage of the total prescription cost in people under OAD monotherapy (84.6%) and lower in those with insulin analogs (46.9%). Conclusions: In our population, the type of hyperglycemia treatment was the main driver of test strip use for SMBG and its impact on the total prescription cost depends on the kind of such treatment. Since it has been shown that patients' education and prescription audit can optimize test strip use and treatment outcomes, implementation of such strategies could appropriately support, optimize, and reduce ineffective test strip use in people with T2DM.
format Articulo
Articulo
author Elgart, Jorge Federico
González, Lorena
Rucci, Enzo
Gagliardino, Juan José
author_facet Elgart, Jorge Federico
González, Lorena
Rucci, Enzo
Gagliardino, Juan José
author_sort Elgart, Jorge Federico
title Self-monitoring of blood glucose: Use, frequency drivers, and cost in Argentina
title_short Self-monitoring of blood glucose: Use, frequency drivers, and cost in Argentina
title_full Self-monitoring of blood glucose: Use, frequency drivers, and cost in Argentina
title_fullStr Self-monitoring of blood glucose: Use, frequency drivers, and cost in Argentina
title_full_unstemmed Self-monitoring of blood glucose: Use, frequency drivers, and cost in Argentina
title_sort self-monitoring of blood glucose: use, frequency drivers, and cost in argentina
publishDate 2014
url http://sedici.unlp.edu.ar/handle/10915/85030
work_keys_str_mv AT elgartjorgefederico selfmonitoringofbloodglucoseusefrequencydriversandcostinargentina
AT gonzalezlorena selfmonitoringofbloodglucoseusefrequencydriversandcostinargentina
AT ruccienzo selfmonitoringofbloodglucoseusefrequencydriversandcostinargentina
AT gagliardinojuanjose selfmonitoringofbloodglucoseusefrequencydriversandcostinargentina
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