Mohan, V and Mann, J S and Mapari, J A and Karnad, P D and Maheshwari, V K (2018) Reduced diabetes mellitus-related comorbidities by regular self-monitoring of blood glucose: Economic and quality of life implications. Indian Journal of Endocrinology and Metabolism, 22 (4). p. 461. ISSN 2230-8210
OBJECTIVES: The objective of the study was to understand the role of self-monitoring of blood glucose (SMBG) for better management of glycemic fluctuations, reducing the risk of complications, and the associated cost benefits for diabetes patients in India. MATERIALS AND METHODS: An Excel-based Cost Impact Model was developed to analyze the impact of SMBG by calculating the savings over a 10-year time period. A literature review was undertaken to model the impact of SMBG on the risk of complications and cardiovascular morbidities. The model was developed based on inputs from previous studies. RESULTS: In the base case, SMBG cohort was associated with a 10-year discounted cost of INR 718,340, resulting in an estimated saving of INR 120,173 compared to no SMBG cohort. Implementation of a once-daily SMBG protocol, for a decade, can reduce the complication-related costs. More frequent SMBG and tri-monthly hemoglobin A1c tests along with lifestyle changes can significantly reduce the financial burden on the patient over the lifespan. CONCLUSION: Our study has shown that proactive management of diabetes with SMBG can improve treatment outcomes and reduce morbidity and mortality associated with this disease. Near-normal blood glucose levels can bring in cost savings in the form of reduced long-term complications and avoidance of repeated hospitalization for the management of such complications, along with an improved quality of life.
|Uncontrolled Keywords:||Control and complications, current status of diabetes care, DiabCare India, diabetes mellitus, self‑Monitoring of blood glucose|
|Divisions:||Department of Diabetology|
|Deposited By:||surendar radha|
|Deposited On:||12 Dec 2018 14:28|
|Last Modified:||12 Dec 2018 14:28|
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