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Self-monitoring of blood-glucose. Improvement of diabetic control.
- Source :
-
Lancet (London, England) [Lancet] 1978 Apr 08; Vol. 1 (8067), pp. 732-5. - Publication Year :
- 1978
-
Abstract
- An accurate pattern of blood-glucose changes in everyday life is the basis for treatment in insulin-dependent diabetes. 69 patients were taught to obtain their own blood-glucose profiles with a 'Reflomat' Boehringer Mannheim) reflectance meter on one working and one rest day, and to repeat these where necessary after adjustment of treatment. 2 did not complete the study satisfactorily. The other 67 produced profiles on 241 dyas. Even patients with a limited education could use the technique accurately and their readings correlated closely with simultaneous laboratory values (r = 0.96). Self-monitoring was especially useful in elucidating problems in diabetic control, preventing hypoglycaemia, and managing diabetic pregnancy. Unlike the measurement of HbA1c which only detects poor diabetic control, self-monitoring also shows how to improve it. Patients found self-monitoring more informative than urine tests; their active involvement in management of their disease resulted in better motivation, greater understanding of diabetes, and a sustained improvement in control. By the end of the study 32 of the 67 patients ahd profiles in which no more than one blood-glucose value exceeded 10 mmol/l. Smaller and more portable machines will make the technique more widely applicable.
- Subjects :
- Adolescent
Adult
Aged
Child
Diabetes Mellitus drug therapy
Diabetes Mellitus, Type 1 blood
Evaluation Studies as Topic
Female
Humans
Hypoglycemia prevention & control
Insulin therapeutic use
Middle Aged
Monitoring, Physiologic instrumentation
Patient Participation
Pregnancy
Pregnancy in Diabetics blood
Blood Glucose analysis
Diabetes Mellitus blood
Monitoring, Physiologic methods
Subjects
Details
- Language :
- English
- ISSN :
- 0140-6736
- Volume :
- 1
- Issue :
- 8067
- Database :
- MEDLINE
- Journal :
- Lancet (London, England)
- Publication Type :
- Academic Journal
- Accession number :
- 76746
- Full Text :
- https://doi.org/10.1016/s0140-6736(78)90855-3