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Title: Effects of structured testing versus routine testing of blood glucose in diabetes self-management: A randomized controlled trial
Authors: Nishimura, Akiko  kyouindb  KAKEN_id
Harashima, Shin-ichi
Fujita, Yoshihito  kyouindb  KAKEN_id
Tanaka, Daisuke  kyouindb  KAKEN_id
Wang, Yu
Liu, Yanyan
Inagaki, Nobuya  kyouindb  KAKEN_id
Author's alias: 西村, 亜希子
原島, 伸一
稲垣, 暢也
Keywords: Glycemic control
Non-insulin treated type 2 diabetes
Self-monitoring of blood glucose
Issue Date: Jan-2017
Publisher: Elsevier B.V.
Journal title: Journal of Diabetes and its Complications
Volume: 31
Issue: 1
Start page: 228
End page: 233
Abstract: [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.
Description: This paper's status is in press. Available online 28 August 2016.
Rights: © 2016. This manuscript version is made available under the CC-BY-NC-ND 4.0 license
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'.
This is not the published version. Please cite only the published version.
DOI(Published Version): 10.1016/j.jdiacomp.2016.08.019
PubMed ID: 27653670
Appears in Collections:Journal Articles

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