FDEMS Scoring System - For Objective Assessment of Motivation Level And Achievement of Glycemic Goals in Patients with Type 2 Diabetes Mellitus
FDEMS scoring system-for objective assessment of motivation level and achievement of glycemic goals
Keywords:
motivation level; type 2 diabetes mellitus, FDEMS score, glycemic control, SMBG, complianceAbstract
Aims and objective: To evaluate the objective assessment of motivation level in patients with type 2 diabetes mellitus (T2DM) by FDEMS scoring system and its correlation with achievement of glycemic goals. Methods: A retrospective, observational study analyzing follow up data of 46 patients with T2DM, using observations recorded at Morning Clinic, Jabalpur (MP, India) was performed from April 2014 to January 2016. The motivation level was objectively assessed with the help of a composite FDEMS score, comprising of following indices - (F) follow up, adherence to (D)dietary & (E)exercise advisory, along with (M)medication compliance and (S, SMBG) self monitoring of blood glucose levels, abbreviated as FDEMS score. The details were collected from the patients follow up charts. A score of 1 was given on satisfactory adherence to each index observed. The composite FDEMS score varied from a maximum of 5 to a minimum of 1. Glycemic control in terms of HbA1c level and change in weight, from baseline was calculated and subjected to statistical analysis. Results: Cohort of patients with higher FDEMS scores (≥3) had a greater proportion of those achieving HbA1c targets respectively as compared to those with lower FDEMS scores (≤2). This difference is statistically significant, in patients with duration of T2DM ≤ 10 yrs (P 0.024). Patients having higher FDEMS score ≥ 3 experienced a greater weight reduction, as compared to patients who had lower FDEMS score ≤2, irrespective of duration of T2DM (P 0.008; diabetes duration ≤ 10 years, P 0.0001; diabetes duration > 10 years). [Sachin K NJIRM 2017; 8(1): 92-96]
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