title: Does blood glucose monitoring increase prior to clinic visits in children with type 1 diabetes?
abstract: OBJECTIVE
  To assess the occurrence of white coat adherence in families with children who have type 1 diabetes.
  
  
  METHODS
  Blood glucose data were downloaded from meters of 72 children, aged 2-11 years, with type 1 diabetes at four consecutive clinic visits. Generalized estimating equations were used to analyze patterns of blood glucose monitoring (BGM) during the 28 days before each clinic visit.
  
  
  RESULTS
  More frequent BGM was associated with better glycemic control. Evidence of a white coat adherence effect, with BGM frequency increasing before a clinic visit, was found only among children with low A1C levels.
  
  
  CONCLUSIONS
  Highly motivated families who frequently monitor their child's blood glucose increased the frequency of BGM before the child's clinic visit. The additional monitoring may benefit the child by providing the physician with a wealth of blood glucose information to guide recommendations.
authors.affiliation: Department of Medical Humanities and Social Sciences, Florida State University College of Medicine, Tallahassee, Florida, USA. kimberly.driscoll@med.fsu.edu
authors.forename: Kimberly A
authors.initials: KA
authors.lastname: Driscoll
authors.forename: Suzanne Bennett
authors.initials: SB
authors.lastname: Johnson
authors.forename: Yuanyuan
authors.initials: Y
authors.lastname: Tang
authors.forename: Fang
authors.initials: F
authors.lastname: Yang
authors.forename: Larry C
authors.initials: LC
authors.lastname: Deeb
authors.forename: Janet H
authors.initials: JH
authors.lastname: Silverstein
mesh_terms: D001786:Blood Glucose / Q000032:analysis; D015190:Blood Glucose Self-Monitoring / Q000706:statistics & numerical data*; D002648:Child; D002675:Child, Preschool; D003922:Diabetes Mellitus, Type 1 / Q000097:blood*; D005260:Female; D006801:Humans; D008297:Male; D010349:Patient Compliance / Q000706:statistics & numerical data
chemical_list: D001786:Blood Glucose