title: Association between self-monitoring of blood glucose and diet among minority patients with diabetes.
abstract: BACKGROUND
  Self-monitoring of blood glucose (SMBG) is used to regulate glucose control. It is unknown whether SMBG can motivate adherence to dietary recommendations. We predicted that participants who used more SMBG would also report lower fat and greater fruit and vegetable consumption.
  
  
  METHODS
  The present study was a cross-sectional study of 401 primarily minority individuals living with diabetes in East Harlem, New York. Fat intake and fruit and vegetable consumption were measured with the Block Fruit/Vegetable/Fiber and Fat Screeners.
  
  
  RESULTS
  Greater frequency of SMBG was associated with lower fat intake (r(s) = -0.15; P < 0.01), but not fruit and vegetable consumption. The effects of SMBG were not moderated by insulin use; thus, the relationship was significant for those individuals both on and not on insulin. A significant interaction was found between frequency of SMBG and changing one's diet in response to SMBG on total fat intake. The data suggest that participants who use SMBG to guide their diet do not have to monitor multiple times a day to benefit.
  
  
  CONCLUSIONS
  The present study found that the frequency of SMBG was associated with lower fat intake. Patients are often taught to use SMBG to guide their self-management. This is one of the first studies to examine whether SMBG is associated with better dietary intake.
authors: War Related Illness and Injury Study Center and REAP Center for Healthcare Knowledge Management, Department of Veterans Affairs, New Jersey Health Care System, East Orange 07018, USA. Lisa.McAndrew@va.gov
authors: Lisa M
authors: LM
authors: McAndrew
authors: Carol R
authors: CR
authors: Horowitz
authors: Kristie J
authors: KJ
authors: Lancaster
authors: Karen S
authors: KS
authors: Quigley
authors: Leonard M
authors: LM
authors: Pogach
authors: Pablo A
authors: PA
authors: Mora
authors: Howard
authors: H
authors: Leventhal
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