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j.jdiacomp.2016.08.019.pdf | 332.62 kB | Adobe PDF | 見る/開く |
タイトル: | Effects of structured testing versus routine testing of blood glucose in diabetes self-management: A randomized controlled trial |
著者: | Nishimura, Akiko Harashima, Shin-ichi Fujita, Yoshihito Tanaka, Daisuke Wang, Yu Liu, Yanyan Inagaki, Nobuya |
著者名の別形: | 西村, 亜希子 原島, 伸一 稲垣, 暢也 |
キーワード: | Glycemic control Non-insulin treated type 2 diabetes Self-management Self-monitoring of blood glucose SMBG |
発行日: | Jan-2017 |
出版者: | Elsevier B.V. |
誌名: | Journal of Diabetes and its Complications |
巻: | 31 |
号: | 1 |
開始ページ: | 228 |
終了ページ: | 233 |
抄録: | [Aims]To compare the effects of structured and routine testing regimens used in self-monitoring of blood glucose (SMBG) on glycemic control and diabetes self-management in insulin-naïve type 2 diabetes patients. [Methods]Sixty-two outpatients with insulin-naïve type 2 diabetes were randomly allocated into two less-frequent SMBG usage groups: a structured testing group (STG) and a routine testing group (RTG). Subjects in STG measured 7-points on SMBG for 3 consecutive days once every two months without daily testing; subjects in RTG measured SMBG 3 times each week before breakfast on Monday and Friday and before dinner on Wednesday. The primary endpoint was HbA1c reduction. The secondary endpoints were change in body weight, blood pressure, treatment change, and self-management performance change. [Results]HbA1c levels were significantly decreased by 0.32% (3.50 mmol/mol) in STG, partly because physicians changed medications more actively. In contrast, body weight and systolic/diastolic blood pressure were significantly reduced by 0.94 kg and 6.8/4.7 mmHg, respectively, in RTG, possibly related to the increased diet and exercise score in RTG. [Conclusions]Structured testing without daily testing is beneficial for glycemic control; routine testing 3 times a week is more helpful for daily self-management. In low SMBG frequency usage, these two regimens can be utilized according to individual diabetic conditions. |
記述: | This paper's status is in press. Available online 28 August 2016. |
著作権等: | © 2016. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ The full-text file will be made open to the public at 01 January 2018 in accordance with publisher's 'Terms and Conditions for Self-Archiving'. この論文は出版社版でありません。引用の際には出版社版をご確認ご利用ください。 This is not the published version. Please cite only the published version. |
URI: | http://hdl.handle.net/2433/216648 |
DOI(出版社版): | 10.1016/j.jdiacomp.2016.08.019 |
PubMed ID: | 27653670 |
出現コレクション: | 学術雑誌掲載論文等 |
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