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KMID : 0922320100170020104
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Journal of Korean Academic Society of Home Care Nursing
2010 Volume.17 No. 2 p.104 ~ p.111
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Effects on Glycemic Control by Continuous Self Monitoring of Blood Glucose in Diabetic Patients
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Jang Gyeong-Wha
Kwon Myung-Soon
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Abstract
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Purpose:To evaluate the effects of continuous self monitoring of blood glucose (SMBG) on glycemic control in diabetic patients.
Methods: Among the diabetic patients who visited the department of internal medicine in H hospital from April 1 to October 27 2008, 76 patients were divided into the experimental group (n=39) and control group (n=36). The experimental group was required to measure blood glucose levels at least twice every other day using SMBG; their compliance was aided by weekly telephone reminders for 3 months after discharge. Glycated hemoglobin, fasting blood sugar and postprandial 2 hours glucose level, triglyceride and high density lipoprotein were measured before and after the study.
Results: Baseline characteristics were not different between the experimental and control groups. Three months later, there was a significant difference in postprandial glucose between the two groups (t=-2.042, p=.045).
Conclusion: There was significant improvement of glycemic control after the use of continuous SMBG, suggesting its value in strict glycemic control and the merit of an aggressive education program.
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KEYWORD
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Diabetes mellitus, Blood glucose self-monitoring
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