Use of an integrated strip-free blood glucose monitoring system increases frequency of self-monitoring and improves glycemic control: Results from the ExAct study

Autor: Alberto Maran, MD, Diethelm Tschoepe, MD, Maurizio Di Mauro, MD, William A. Fisher, PhD, Kurt Loeffler, PhD, Iris Vesper, MS, Sandra Bloethner, PhD, Oliver Mast, MSc, Joerg Weissmann, MD, Ildikó Amann-Zalán, MD, Annette Moritz, PhD, Christopher G. Parkin, MS, Taylor Kohut, MSc, Iain Cranston, MD, FRCP
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: Journal of Clinical & Translational Endocrinology, Vol 1, Iss 4, Pp 161-166 (2014)
Druh dokumentu: article
ISSN: 2214-6237
DOI: 10.1016/j.jcte.2014.08.003
Popis: Aims: We investigated the impact of using an integrated, strip-free system compared to the use of single-strip systems on testing frequency and glycemic control in individuals with insulin-treated diabetes. Methods: This multinational, comparative, cluster-randomized, observational study included 311 patients with type 1 and insulin-treated type 2 diabetes who were performing SMBG at suboptimal frequencies. Sites were cluster-randomized to “integrated strip-free” system (EXP group) or any “single-strip” system (CNL group). Testing frequency and HbA1c were measured at baseline, 12 weeks and 24 weeks. Results: At week 24, the EXP group showed an increase in SMBG frequency from baseline of 4.17 tests/week (95% CI 2.76, 5.58) compared with an increase of 0.53 tests/week (95% CI −0.73, 1.79) among CNL patients, resulting in a between-group difference of 3.63 tests/week (p
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