Effects and correlates of blood glucose awareness training among patients with IDDM.
Whereas self-monitoring of blood glucose (SMBG) is the recommended source of information on which to make self-care decisions, patients frequently use estimates of their own blood glucose (BG). This study evaluated whether patients with insulin-dependent diabetes mellitus (IDDM) could learn to improve accuracy of BG estimations and whether this would lead to improved metabolic control. Subjects in BG awareness training improved both their BG-estimation accuracy and glycosylated hemoglobin (HbA1) compared with the control group. Initial BG-estimation accuracy was marginally associated with pretreatment HbA1 and months of previous SMBG experience. Posttreatment improvement was associated with pretreatment BG-estimation accuracy and the ability to counterregulate to insulin-induced hypoglycemia.
Cox
D J
DJ
Behavioral Medicine Center, Blue Ridge Hospital, University of Virginia School of Medicine, Charlottesville.
Gonder-Frederick
L A
LA
Lee
J H
JH
Julian
D M
DM
Carter
W R
WR
Clarke
W L
WL
D001786:Blood Glucose / Q000378:metabolism*; D015190:Blood Glucose Self-Monitoring; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000534:rehabilitation*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D008297:Male; D010353:Patient Education as Topic
D001786:Blood Glucose; D006442:Glycated Hemoglobin