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The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.

Meal-Related Structured Self-Monitoring of Blood Glucose

Schwedes, Ulrich, Siebolds, Markus, Mertes, Gabriele, For the SMBG Study Group·2002·Diabetes Care
DOI 10.2337/diacare.25.11.1928
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Abstract

OBJECTIVE: To investigate the effect of meal-related self-monitoring of blood glucose on glycemic control and well-being in non-insulin-treated type 2 diabetic patients. RESEARCH DESIGN AND METHODS: This 6-month study, which included 6 months of follow-up, adopted a prospective, multicenter, randomized controlled design. Subjects were randomized to two groups: one group used a blood glucose-monitoring device, kept a blood glucose/eating diary, and received standardized counseling; the control group received nonstandardized counseling on diet and lifestyle. The primary efficacy parameter was the change in HbA(1c). Secondary efficacy variables included changes in body weight, lipids, and microalbumin and changes in treatment satisfaction and well-being. RESULTS: In the per-protocol analysis, the use of a self-monitoring blood glucose device significantly reduced HbA(1c) levels by 1.0 +/- 1.08% compared with 0.54 +/- 1.41% for the control group (P = 0.0086); subgroup analysis showed three types of responders. Body weight, total cholesterol, and microalbumin improved when using a glucometer, but there was no statistically significant difference between the two groups. Treatment satisfaction increased in both groups to a similar extent (P = 0.9). Self-monitoring resulted in a marked improvement of general well-being with significant improvements in the subitems depression (P = 0.032) and lack of well-being (P = 0.02). CONCLUSIONS: Meal-related self-monitoring of blood glucose within a structured counseling program improved glycemic control in the majority of non-insulin-treated type 2 diabetic patients in this study. The finding of three types of responders will be important for future planning of counseling and educational interventions.

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Crossref · 10.2337/diacare.25.11.1928

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Research works printed but not linked: 1

  1. Siebolds M: Die Diabetikergruppensprechstunde. (Diabetes Group Counseling). 2nd ed (German). Berlin, De Gruyter Verlag, 1997

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Metadata

Authors
Schwedes, U., Siebolds, M., Mertes, G., & For the SMBG Study Group
Affiliations
  • Asklepios Klinik Barmbek (DE)
  • Catholic University of Applied Sciences (DE)
  • Bayer (Germany) (DE)
Venue
Diabetes Care
Publisher
American Diabetes Association
Published
2002-11-01
Volume
25
Issue
11
Pages
1928-1932
ISSN
  • 0149-5992 (ISSN-L)
  • 1935-5548
DOI
10.2337/diacare.25.11.1928
OpenAlex
W2113488692
Cited by
300
References
13
Citations by year
2026: 1 · 2025: 3 · 2024: 4 · 2023: 5 · 2022: 7 · 2021: 3 · 2020: 3 · 2019: 8 · 2018: 6 · 2017: 8 · 2016: 15 · 2015: 9 · 2014: 17 · 2013: 13 · 2012: 17
FWCI
7.31
Type
journal article
Language
en
Open access
closed
Locations
  • Diabetes Care (publishedVersion)
  • PubMed (publishedVersion)
Funders
Bayer Vital
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
Keywords
self-monitoring of blood glucose, type 2 diabetes, glycemic control, HbA1c, blood glucose meters, nutrition counseling, well-being, depression, body weight, microalbumin, non-insulin-treated diabetes, treatment satisfaction
MeSH terms
Blood Glucose, Body Weight, Diabetes Mellitus, Type 2, Eating, Female, Follow-Up Studies, Humans, Male, Middle Aged, Reference Values, Self Care, Time Factors, Blood Glucose Self-Monitoring, Diet Records, Body Mass Index

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