| Abstract [eng] |
Opportunities of self-care for people with diabetes are improving and there are a lot of new innovative tools for long-term monitoring. Objective: To determine the extent of involvement of self-care in multimorbid diabetic patients and to evaluate the benefits of using innovative tools for glycaemic control. Methodology: The study group consisted of 75 multimorbid diabetic patients. It was conducted through a questionnaire and the use of continuous glucose sensors. Patients responded to the surveys from 2021-10 to 2021-11 and used sensors from 2021-11 to 2022-04. Results: 68 patients responded to the surveys. 61.8 % of them were women. Average age was 59 (10) years. 67.2 % answered positively about their health. Health assessment did not influence frequency of medication use, glycemia measurements, and involvement into preventive programs. 47.1 % of respondents searched for information about diabetes additionally. Those who rated their health worse were more likely to forget timely medication use (p <0.001). 43 patients participated in the glucose sensor analysis. Average sensor glucose levels were 7.1 mmol/l. Participants used their systems 60.1 % of the time, with longer periods at the end of the study. Time in range was 91,7 (10,3) %, at the beginning - 93 (13) % and at the end - 94 (18) %. Conclusions: 1. Self-care of diabetic patients mainly involved regular medication use and monitoring of their health status indicators. Patients who assessed their health status positively had less frequent measurements of arterial blood pressure, were more physically active, and were more favorable about their treatment regimen compared to those who rated their status worse. 2. Most participants participated in the preventive programmes or inquired about diabetes, but involvement in diabetes self-care was still insufficient 3. Patients use glucose sensors more than 60 % of time when they were active and time in range was achieved in 91.7 % of measurements. |
