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KMID : 0927720070080010067
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Korean Clinical Diabetes
2007 Volume.8 No. 1 p.67 ~ p.73
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Impact of Computer Graphic assisted SMBG Program on Glycemic Control
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Park Bong-Suk
Choi Yoon-Jung
Kim Myoung-Soo
Kim Gyoung-Hui
Lee Mi-Young
Shin Jang-Yel
Chung Choon-Hee
Lee Jee-Eun
Jin Ki-Nam
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Abstract
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Backgrouds: For strict glycemic control, the number of patients performing self-monitering of blood glucose (SMBG) is increased. But, the impact of SMBG was rarely studied. In this study, we evaluated the effects of computer graphic assisted SMBG program on glycemic control and would like to use them as basic information for nurse intervention.
Methods: Among diabetic patients who visited the Department of Internal Medicine in Yonsei University Wonju Christian Hospital from May to December 2005, total 180 patients were divided into experimental group (n = 90) and control group (n = 90). The experimental group was required to measure blood glucose levels at least once every other day using a computer graphic-assisted SMBG and we showed the results to patients as a graph at the time of visiting the outpatient clinic. The control group was not required to carry out SMBG. All subjects were measured weight, body mass index, HbA1C, fasting and postprandial glucose level, total cholesterol, triglyceride, high density lipoprotein (HDL) cholesterol prior to investigation and 6 months later.
Results: Baseline characteristics were not different between the experimental and control groups except HbA1C (experimental group 8.12 ± 0.46% vs control group 7.59 ± 1.38%, P < 0.05). 6 months later, the levels of HbA1C and triglyceride in experiment group were significantly lower (experimental group 7.39 ± 1.14% and 137 ± 82.86 mg/dL vs control group 8.06 ± 2.05% and 176.13 ± 97.88 mg/dL, P < 0.01) and the level of HDL cholesterol in experiment group was significantly higher (experimental group 51.46 ± 12.86 mg/dL vs control group 46.79 ± 13.08 mg/dL, P < 0.05) than those of control group. In the experiment group, the levels of HbA1C, triglyceride, HDL cholesterol were improved after the use of computer graphic-assisted SMBG program. But, in control group, the metabolic measures were not improved.
Conclusion: There was significant improvement of glycemic control and metabolic components after the use of computer graphic assisted SMBG program. We suggest that computer graphic assisted SMBG program can be used for strict glycemic control and aggressive education program.
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KEYWORD
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Computer graphic, Glycemic control, Self monitoring of blood glucose
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