Conclusions
The high levels of FPA and general anxiety observed in the current study highlight that professionals should be sensitive to the psychological factors relating to self blood glucose monitoring with the finger prick method. In those who cited forgetfulness, laziness or time pressure and technical issues, further diabetes education strategies could have a defined focus.
Increased awareness of the problem plus more specific assessment tools should identify those who might benefit from psychological treatments including cognitive behavioural therapy techniques. In extreme cases identification and referral for specialist psychological input may be warranted. These strategies may improve the glycaemic control, and general wellbeing of those individuals.