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dc.contributor.authorNishimura, Akikoen
dc.contributor.authorHarashima, Shin-ichien
dc.contributor.authorFujita, Yoshihitoen
dc.contributor.authorTanaka, Daisukeen
dc.contributor.authorWang, Yuen
dc.contributor.authorLiu, Yanyanen
dc.contributor.authorInagaki, Nobuyaen
dc.contributor.alternative西村, 亜希子ja
dc.contributor.alternative原島, 伸一ja
dc.contributor.alternative稲垣, 暢也ja
dc.date.accessioned2016-09-26T00:35:41Z-
dc.date.available2016-09-26T00:35:41Z-
dc.date.issued2017-01-
dc.identifier.issn1056-8727-
dc.identifier.urihttp://hdl.handle.net/2433/216648-
dc.descriptionThis paper's status is in press. Available online 28 August 2016.en
dc.description.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.en
dc.format.mimetypeapplication/pdf-
dc.language.isoeng-
dc.publisherElsevier B.V.en
dc.rights© 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/en
dc.rightsThe 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'.en
dc.rights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。ja
dc.rightsThis is not the published version. Please cite only the published version.en
dc.subjectGlycemic controlen
dc.subjectNon-insulin treated type 2 diabetesen
dc.subjectSelf-managementen
dc.subjectSelf-monitoring of blood glucoseen
dc.subjectSMBGen
dc.titleEffects of structured testing versus routine testing of blood glucose in diabetes self-management: A randomized controlled trialen
dc.typejournal article-
dc.type.niitypeJournal Article-
dc.identifier.jtitleJournal of Diabetes and its Complicationsen
dc.identifier.volume31-
dc.identifier.issue1-
dc.identifier.spage228-
dc.identifier.epage233-
dc.relation.doi10.1016/j.jdiacomp.2016.08.019-
dc.textversionauthor-
dc.identifier.pmid27653670-
dcterms.accessRightsopen access-
datacite.date.available2018-01-01-
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