Randomized trial of technology-assisted self-monitoring of blood glucose by low-income seniors: improved glycemic control in type 2 diabetes mellitus

Autor: Paul E. Knudson, Raymond Fleming, Edith Burns, Jeff Whittle, Howard Leventhal, Jason C. Levine, Steve Flax
Rok vydání: 2016
Předmět:
Zdroj: Journal of Behavioral Medicine. 39:1001-1008
ISSN: 1573-3521
0160-7715
DOI: 10.1007/s10865-016-9763-5
Popis: Self-monitoring of blood glucose (SMBG) has been recommended for people with type 2 diabetes mellitus. This trial tested an automated self-management monitor (ASMM) that reminds patients to perform SMBG, provides feedback on results of SMBG, and action tips for improved self-management. This delayed-start trial randomized participants to using the ASMM immediately (IG), or following a delay of 6 months (DG). Glycated hemoglobin (HgbA1c) level and survey data was collected at home visits every 3 months. 44 diabetic men and women, mean age 70, completed the 12-month trial. Baseline HgbA1c was 8.1 % ± 1.0, dropping to 7.3 ± 1.0 by 9 months, with a 3-month lag in the DG (F = 3.56, p = 0.004). Decrease in HgbA1c was significantly correlated to increased frequency of SMBG, R = 0.588, p
Databáze: OpenAIRE