The effect of nutrition education using self-monitoring of blood glucose on glycemic control was investigated in the present study. Of 36 males and 25 females aged 30 - 69 years under outpatient treatment at 3 hospita...The effect of nutrition education using self-monitoring of blood glucose on glycemic control was investigated in the present study. Of 36 males and 25 females aged 30 - 69 years under outpatient treatment at 3 hospitals in Niigata prefecture, Japan, 61 non-insulin-treated obese type 2 diabetes patients with HbA1c of 6.9% - 9.3% and body mass index of 25 kg/m2 or higher were randomly allocated. Thirty and 31 patients were analyzed in intervention and control groups, respectively. The intervention group performed self-monitoring of blood glucose 2 hours after supper twice a week for 6 months and underwent nutrition education on the association between meals and postprandial blood glucose once every 2 months. The primary outcome was glycated hemoglobin, with the secondary outcome of body mass index. Stages of change for eating the appropriate supper amount were investigated to verify the process of the educational effect, and satisfaction with diabetes treatment and well-being were investigated to verify the continuity of treatment. On intention-to-treat analysis, glycated hemoglobin (mean ± SD) decreased from 7.9% ± 0.6% to 7.7% ± 0.6% in the intervention group but increased from 7.9% ± 0.6% to 8.1% ± 0.6% in the control group, showing a significant difference in the change after intervention between the groups (p = 0.027). In the intervention group, body mass index decreased from 28.9 ± 3.8 to 28.4 ± 3.7 kg/m2 (p = 0.019), the stages of change to learn the appropriate amount of supper progressed (p = 0.026), and satisfaction with diabetes treatment increased (p = 0.031).展开更多
Aims: To investigate the effects of a newly developed color-coded educational glucose control instruction (COLOR), combined with a color-displayed glucose meter on changes in type-2 diabetes patient’s behavior and th...Aims: To investigate the effects of a newly developed color-coded educational glucose control instruction (COLOR), combined with a color-displayed glucose meter on changes in type-2 diabetes patient’s behavior and their HbA1c levels. Material and Methods: Patients using a COLOR-self-monitoring of blood glucose (SMBG) method were instructed to record daily blood glucose levels with red (high glucose ≥ 180 mg/dL) or blue (low glucose ≤ 70 mg/dL) colored circles on their SMBG notebooks according to the colors displayed on the glucose meter. Results: COLOR-SMBG showed an improved the actual behavior modification scores by 14% compared to Conventional group at 1-month follow-up展开更多
Diabetes is a condition that can come to the surface at any point throughout a person’s life. Although Type 1 and Type 2 Diabetes have different triggers that cause them to arise, a person can experience similar comp...Diabetes is a condition that can come to the surface at any point throughout a person’s life. Although Type 1 and Type 2 Diabetes have different triggers that cause them to arise, a person can experience similar complications from either if not monitored and treated accordingly. Through the Diabetes Control and Complications Trial, it was found that a significant way to monitor diabetes is through glucose levels in a person’s body. The research surrounding glucose monitoring dates to the mid-1800s, with the first successful reagent for glucose testing being developed in 1908. Since then, glucose sensing has become one of the most rapidly growing areas of research and development in biosensor technology, creating a competitive market for more advanced, accurate, and convenient glucose monitoring. This article reviews the history of biosensors used for glucose monitoring, and major advancements in biosensor technology to enhance performance and improve quality of life for patients with diabetes.展开更多
目的运用标准化维持(Standardization Do Check Action,SDCA)管理对糖尿病患者进行教育,建立其专属的个体化自我血糖监测(selfmonitoring of blood glucose,SMBG)标准操作流程并促进持续监测,以提高糖尿病患者的监测技术、监测依从性及...目的运用标准化维持(Standardization Do Check Action,SDCA)管理对糖尿病患者进行教育,建立其专属的个体化自我血糖监测(selfmonitoring of blood glucose,SMBG)标准操作流程并促进持续监测,以提高糖尿病患者的监测技术、监测依从性及自我管理能力。方法选取2019年3月—2019年6月于我院就诊的糖尿病且首次进行SMBG的患者96例,采用随机数字表法分为观察组和参照组各48例。在糖尿病专科护士进行SMBG常规教育的基础上,对观察组患者实施SDCA循环管理的SMBG个性化教育和管理。观察并比较两组采血疼痛程度;SMBG技术、监测依从性及自我管理能力。结果两组采血疼痛程度、SMBG操作评分、监测依从性及自我管理能力比较,观察组高于参照组,差异具有统计学意义(均P<0.05)。结论以SDCA循环管理建立个体化SMBG标准操作流程,对糖尿病患者实施个体化教育和管理,能有效提高其监测技术、监测依从性及自我管理能力,保证血糖测量结果的精准性,有助于评估糖尿病患者糖代谢紊乱程度,制订合理的个体化生活方式干预和降糖方案,控制病情进展,延缓和防止并发症发生。展开更多
目的以控糖营为载体,对糖尿病患者进行自我血糖监测(Selfmonitoring of blood glucose,SMBG)的同质化长效管理,实现稳定控制血糖。方法纳入2022年1月至2022年12月期间在我院内分泌科首诊的2型糖尿病患者100例,采用随机数字表法分为对照...目的以控糖营为载体,对糖尿病患者进行自我血糖监测(Selfmonitoring of blood glucose,SMBG)的同质化长效管理,实现稳定控制血糖。方法纳入2022年1月至2022年12月期间在我院内分泌科首诊的2型糖尿病患者100例,采用随机数字表法分为对照组和观察组各50例。对照组实施常规的健康教育及出院指导,观察组在此基础上依托控糖营实施SMBG管理。观察并比较两组SMBG执行率、SMBG技术水平、血糖控制达标率及低血糖发生率。结果观察组的SMBG执行率、SMBG技术水平、血糖控制达标率均高于对照组,差异有统计学意义(P<0.05);观察组低血糖发生率低于对照组,差异有统计学意义(P<0.05)。结论依托控糖营对糖尿病患者实施SMBG同质化长效管理,能提高SMBG正确执行,稳定控制血糖,延缓疾病进展,提高生存质量。展开更多
文摘The effect of nutrition education using self-monitoring of blood glucose on glycemic control was investigated in the present study. Of 36 males and 25 females aged 30 - 69 years under outpatient treatment at 3 hospitals in Niigata prefecture, Japan, 61 non-insulin-treated obese type 2 diabetes patients with HbA1c of 6.9% - 9.3% and body mass index of 25 kg/m2 or higher were randomly allocated. Thirty and 31 patients were analyzed in intervention and control groups, respectively. The intervention group performed self-monitoring of blood glucose 2 hours after supper twice a week for 6 months and underwent nutrition education on the association between meals and postprandial blood glucose once every 2 months. The primary outcome was glycated hemoglobin, with the secondary outcome of body mass index. Stages of change for eating the appropriate supper amount were investigated to verify the process of the educational effect, and satisfaction with diabetes treatment and well-being were investigated to verify the continuity of treatment. On intention-to-treat analysis, glycated hemoglobin (mean ± SD) decreased from 7.9% ± 0.6% to 7.7% ± 0.6% in the intervention group but increased from 7.9% ± 0.6% to 8.1% ± 0.6% in the control group, showing a significant difference in the change after intervention between the groups (p = 0.027). In the intervention group, body mass index decreased from 28.9 ± 3.8 to 28.4 ± 3.7 kg/m2 (p = 0.019), the stages of change to learn the appropriate amount of supper progressed (p = 0.026), and satisfaction with diabetes treatment increased (p = 0.031).
文摘Aims: To investigate the effects of a newly developed color-coded educational glucose control instruction (COLOR), combined with a color-displayed glucose meter on changes in type-2 diabetes patient’s behavior and their HbA1c levels. Material and Methods: Patients using a COLOR-self-monitoring of blood glucose (SMBG) method were instructed to record daily blood glucose levels with red (high glucose ≥ 180 mg/dL) or blue (low glucose ≤ 70 mg/dL) colored circles on their SMBG notebooks according to the colors displayed on the glucose meter. Results: COLOR-SMBG showed an improved the actual behavior modification scores by 14% compared to Conventional group at 1-month follow-up
文摘Diabetes is a condition that can come to the surface at any point throughout a person’s life. Although Type 1 and Type 2 Diabetes have different triggers that cause them to arise, a person can experience similar complications from either if not monitored and treated accordingly. Through the Diabetes Control and Complications Trial, it was found that a significant way to monitor diabetes is through glucose levels in a person’s body. The research surrounding glucose monitoring dates to the mid-1800s, with the first successful reagent for glucose testing being developed in 1908. Since then, glucose sensing has become one of the most rapidly growing areas of research and development in biosensor technology, creating a competitive market for more advanced, accurate, and convenient glucose monitoring. This article reviews the history of biosensors used for glucose monitoring, and major advancements in biosensor technology to enhance performance and improve quality of life for patients with diabetes.
文摘目的运用标准化维持(Standardization Do Check Action,SDCA)管理对糖尿病患者进行教育,建立其专属的个体化自我血糖监测(selfmonitoring of blood glucose,SMBG)标准操作流程并促进持续监测,以提高糖尿病患者的监测技术、监测依从性及自我管理能力。方法选取2019年3月—2019年6月于我院就诊的糖尿病且首次进行SMBG的患者96例,采用随机数字表法分为观察组和参照组各48例。在糖尿病专科护士进行SMBG常规教育的基础上,对观察组患者实施SDCA循环管理的SMBG个性化教育和管理。观察并比较两组采血疼痛程度;SMBG技术、监测依从性及自我管理能力。结果两组采血疼痛程度、SMBG操作评分、监测依从性及自我管理能力比较,观察组高于参照组,差异具有统计学意义(均P<0.05)。结论以SDCA循环管理建立个体化SMBG标准操作流程,对糖尿病患者实施个体化教育和管理,能有效提高其监测技术、监测依从性及自我管理能力,保证血糖测量结果的精准性,有助于评估糖尿病患者糖代谢紊乱程度,制订合理的个体化生活方式干预和降糖方案,控制病情进展,延缓和防止并发症发生。
文摘目的以控糖营为载体,对糖尿病患者进行自我血糖监测(Selfmonitoring of blood glucose,SMBG)的同质化长效管理,实现稳定控制血糖。方法纳入2022年1月至2022年12月期间在我院内分泌科首诊的2型糖尿病患者100例,采用随机数字表法分为对照组和观察组各50例。对照组实施常规的健康教育及出院指导,观察组在此基础上依托控糖营实施SMBG管理。观察并比较两组SMBG执行率、SMBG技术水平、血糖控制达标率及低血糖发生率。结果观察组的SMBG执行率、SMBG技术水平、血糖控制达标率均高于对照组,差异有统计学意义(P<0.05);观察组低血糖发生率低于对照组,差异有统计学意义(P<0.05)。结论依托控糖营对糖尿病患者实施SMBG同质化长效管理,能提高SMBG正确执行,稳定控制血糖,延缓疾病进展,提高生存质量。
