Implementation of blood glucose self- monitoring among insulin-dependent patients with type 2 diabetes in three rural districts in Rwanda

Loise Ng’ang’a, Gedeon Ngoga, Symaque Dusabeyezu, Bethany L Hedt-Gauthier, Patient Ngamije, Michel Habiyaremye, Emmanuel Harerimana, Gilles Ndayisaba, Christian Rusangwa, Simon Pierre Niyonsenga, Charlotte M Bavuma, Gene Bukhman, Alma J Adler, Fredrick Kateera, Paul H. Park

 This study explores the feasibility and impact of implementing self-monitoring of blood glucose (SMBG) in patients with type 2 diabetes in rural Rwandan districts. This is an open randomised controlled trial comprising of two arms: (1) Intervention group— participants will receive a glucose metre, blood test strips, logbook, waste management box and training on how to conduct SMBG in additional to usual care and (2) Control group—participants will receive usual care, comprising of clinical consultations and routine monthly follow-up. We will conduct qualitative interviews at enrolment and at the end of the study to assess knowledge of diabetes. At the end of the study period, we will interview clinicians and participants to assess the perceived usefulness, facilitators and barriers of SMBG.