Advanced Meter Features Improve Postprandial and Paired Self-Monitoring of Blood Glucose in Individuals with Diabetes: Results of the Actions with the CONTOUR Blood Glucose Meter and Behaviors in Frequent Testers (ACT) Study

Bergenstal, Richard M.; Bode, Bruce W.; Tamler, Ronald; Trence, Dace L.; Stenger, Patricia; Schachner, Holly C.; Fullam, Jeanellen; Pardo, Scott; Kohut, Taylor; Fisher, William A.

doi:10.1089/dia.2012.0051

Cited by 11 publications

(7 citation statements)

References 17 publications

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“…Bergenstal et al demonstrated in their study with a SMBG device that also had as an advanced feature reminders for glucose testing that the patients increased their SMBG frequency and the use of pp-glucose measurements. 8 This shows that the use of reminders can help patients to optimize their treatment regime. One has to admit though, that especially younger patients and patients with T1D are more keen to use reminders, as shown in our study.…”

Section: Discussionmentioning

confidence: 99%

“…5-7 To our knowledge there is only 1 study reporting on the use of SMBG testing reminder functions build into SMBG devices which shows that these help to overcome some of the challenges to perform pp-SMBG. 8 During the course of insulin therapy the risk of ketoacidosis always exist, the reasons of which can be different, for example, omission or wrong dose of insulin, higher carbohydrate intake, fever or other acute illnesses. However, measuring ketones, especially ß-ketones in blood, is not widespread used yet although often warranted.…”

mentioning

confidence: 99%

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Use of a Combined Blood-Glucose- and ß-Ketone-Measuring Device Improves Glycemic Control in Insulin-Treated Patients With Diabetes

Ziegler¹,

Eichholz²,

Schulz

2015

J Diabetes Sci Technol

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Background: Using self-measurements of blood glucose (SMBG) is daily routine for patients with insulin-treated diabetes, however measuring ß-ketones in blood is not widespread. How the use of a combined device, which can measure both, is accepted in daily routine by patients and will lead to better glycemic control is not well studied. Methods: This multicenter, prospective, noninterventional study assessed the impact of routine use of the GlucoMen® LX Plus on patient acceptance, usage and glycemic control among insulin-treated patients with diabetes mellitus type 1 and type 2. A1c and self-reported frequency of SMBG were evaluated at baseline and also postprandial SMBG, ß-ketone measurements, and use of reminders after 3 and 6 months of use. A total of 631 patients, 254 type 1/350 type 2 (27 no type specified), with mean (SD) baseline A1c 8.5% (1.5), age 54.6 (15.6) years, and 47.3% female were studied. Results: Frequent use of SMBG at baseline led to a higher decrease in A1c at 6 month (V3): –0.3% if SMBG measured up to 1/day versus −0.9% in 4-6/day. Increase of SMBG frequency during the study showed also a negative correlation to A1c, 9.2% at V1 versus 7.6% at V3. Postprandial SMBG was done by 77.7% and ß-ketone measurements by 45.5% of all patients; the reminders were used by 33.4% and led to an increased frequency of SMBG at 6 months. Conclusions: A combined device for SMBG and ß-ketone measurements is well accepted by patients with insulin-treated diabetes and can lead through the avoidance or detection of ketoacidosis/increased frequency of SMBG and increased awareness of the patients to an improved glycemic outcome.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Use of a Combined Blood-Glucose- and ß-Ketone-Measuring Device Improves Glycemic Control in Insulin-Treated Patients With Diabetes

Ziegler¹,

Eichholz²,

Schulz

2015

J Diabetes Sci Technol

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“…Meter features have been examined as a determinant of SMBG frequency. In one study the education of people to use the advanced features of a meter, including an audible reminder, increased the frequency of SMBG [ 19 ]. With regards to the Accu-Chek Mobile meter system, one previous study has demonstrated an increased compliance with recommended SMBG frequency [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

Improving Self-Monitoring of Blood Glucose among Adults with Type 1 Diabetes: Results of the Mobile™ Study

et al. 2014

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IntroductionThe objective of this study was to determine whether people with type 1 diabetes are more likely to self-monitor their blood glucose (SMBG) as recommended by their diabetes health care professional using the Accu-Chek Mobile™ (F. Hoffmann-La Roche AG, Basel, Switzerland) monitoring system compared to the Freestyle Optium™ (Abbott, North Chicago, IL, USA).MethodsThirty-five participants with type 1 diabetes participating in a randomized cross-over study were assigned to monitor their blood glucose levels for a 3-month period using the Accu-Chek Mobile or the Freestyle Optium monitoring system and then to cross-over to the alternative device. After completion of the 6-month cross-over period, participants were invited to select their meter of choice and were followed for a further 3 months.ResultsSMBG frequency increased in both groups but participants monitored significantly more often using the Accu-Chek Mobile meter (frequency SMBG/week median: 19 vs. 10, P = 0.04). After 3 months using each meter, 77% of participants indicated a preference for the Accu-Chek Mobile meter. Monitoring frequency in this group remained higher than baseline during the 3-month post-cross-over follow-up period.ConclusionOur results indicate that the Accu-Chek Mobile meter improves SMBG frequency. After experience of both systems, Accu-Chek Mobile was the meter of choice for the majority of participants in this study.FundingRoche Diabetes Care Unconditional Education Grant.Electronic supplementary materialThe online version of this article (doi:10.1007/s13300-014-0092-9) contains supplementary material, which is available to authorized users.

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“…8 Data collection and management tools can facilitate the pattern recognition process by enabling more robust and efficient use of SMBG data by patients and HCPs. 6,10 Most currently available blood glucose monitoring systems (BGMSs) require connection to (Web-based) pattern management software, but experience has shown that patients often do not consistently download data. A BGMS with an onscreen (real-time) pattern analysis tool could, therefore, be a valuable asset to patients by providing immediate feedback on blood glucose values, which could have an impact on an individual's behavior and self-management.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a Blood Glucose Monitoring System with Automatic High- and Low-Pattern Recognition Software in Insulin-Using Patients: Pattern Detection and Patient-Reported Insights

Grady

Campbell

MacLeod

et al. 2013

J Diabetes Sci Technol

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Advanced Meter Features Improve Postprandial and Paired Self-Monitoring of Blood Glucose in Individuals with Diabetes: Results of the Actions with the CONTOUR Blood Glucose Meter and Behaviors in Frequent Testers (ACT) Study

Abstract: Study findings showed that advanced features of the CONTOUR BGMS increased structured testing as measured by postprandial and paired SMBG and were perceived as useful by patients.

Cited by 11 publications

References 17 publications

Use of a Combined Blood-Glucose- and ß-Ketone-Measuring Device Improves Glycemic Control in Insulin-Treated Patients With Diabetes

Use of a Combined Blood-Glucose- and ß-Ketone-Measuring Device Improves Glycemic Control in Insulin-Treated Patients With Diabetes

Improving Self-Monitoring of Blood Glucose among Adults with Type 1 Diabetes: Results of the Mobile™ Study

Evaluation of a Blood Glucose Monitoring System with Automatic High- and Low-Pattern Recognition Software in Insulin-Using Patients: Pattern Detection and Patient-Reported Insights

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