Use of a Blood Glucose Monitoring Manual to Enhance Monitoring Adherence in Adults With Diabetes: A Randomized Controlled Trial
Abstract
Background Frequent blood glucose (BG) monitoring is a critical component of diabetes management, yet many barriers exist to consistent monitoring. Methods In this randomized controlled trial, we sought to determine if an educational manual, the Blood Sugar Monitoring Owner's Manual (BGMOM), could increase adherence to BG monitoring by helping patients form realistic expectations and responses to BG monitoring results. The 199 participants were recruited from a multidisciplinary diabetes clinic and had high-risk diabetes (hemoglobin A(1C) >or=8.0%); 35% had type 1 diabetes mellitus. Participants were randomized to 1 of 3 groups: BGMOM intervention (BGM+), attention control (BG meter only [MT]), or standard care (SC). The BGM+ and MT groups received BG meters and meter education; the BGM+ group also received BGMOM booklets. The SC group received usual care. Data gathered during 6 months of follow-up included BG monitoring frequency and hemoglobin A(1C) measurement. Results Monitoring frequency increased significantly in the BGM+ group (1.9 +/- 1.3 to 2.8 +/- 1.5 times daily, P Conclusion As an adjunct to standard diabetes education and support, a manual such as the BGMOM can help optimize BG monitoring and glycemic control.
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Seeing high or low glucose values can evoke frustration, anxiety, and guilt, leading many people with type 1 diabetes to measure less often than needed.
“Seeing high or low glucose values can evoke feelings of frustration, anxiety, and guilt, leading many people with type 1 diabetes to measure less often than needed (73).”
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References 20 · Cited by 2
- Authors
- Moreland, E. C., Volkening, L. K., Lawlor, M. T., Chalmers, K. A., Anderson, B. J., & Laffel, L. M. B.
- Affiliations
- Joslin Diabetes Center (US)
- Venue
- Archives of Internal Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 2006-03-27
- Volume
- 166
- Issue
- 6
- Pages
- 689
- ISSN
- 0003-9926 (ISSN-L)
- OpenAlex
- W1591496275
- Cited by
- 2
- References
- 20
- Citations by year
- 2016: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Internal Medicine (publishedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (T32DK063702, T32DK007260)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Keywords
- blood glucose monitoring, diabetes self-management, glycemic control, HbA1c, diabetes education, patient knowledge, adults with diabetes
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