title: Effects and correlates of blood glucose awareness training among patients with IDDM.
abstract: 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.
authors.affiliation: Behavioral Medicine Center, Blue Ridge Hospital, University of Virginia School of Medicine, Charlottesville.
authors.forename: D J
authors.initials: DJ
authors.lastname: Cox
authors.forename: L A
authors.initials: LA
authors.lastname: Gonder-Frederick
authors.forename: J H
authors.initials: JH
authors.lastname: Lee
authors.forename: D M
authors.initials: DM
authors.lastname: Julian
authors.forename: W R
authors.initials: WR
authors.lastname: Carter
authors.forename: W L
authors.initials: WL
authors.lastname: Clarke
mesh_terms: 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
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin