Discrimination of Blood Glucose Levels in Insulin-Dependent Diabetics

Gross, Alan M.; Wojnilower, Daniel A.; Levin, Renee B.; Dale, Jennifer; Crichardson, Pat; Davidson, Paul C.

doi:10.1177/01454455830073005

Cited by 13 publications

(3 citation statements)

References 12 publications

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“…Cameron and Curtis (1980) reported that nondiabetic subjects could be taught to discriminate between a normal and high blood sugar level, when changes in blood sugar concentration were induced by injections of glucose, and feedback was provided on the accuracy of discrimination. Feedback was helpful in training three insulin-dependent diabetic patients to estimate their blood sugar (Gross et al, 1983). Although there are few symptoms that are consistently associated with hypo- or hyperglycemia across patients, Pennebaker and associates (Pennebaker et al, 1981) noted that there are consistent symptom-blood sugar relations within an individual.…”

Section: Self-regulation Model For Patients With Type I Diabetesmentioning

confidence: 99%

Behavioral self-regulation in the treatment of patients with diabetes mellitus.

Wing¹,

Epstein²,

Nowalk³

et al. 1986

Psychological Bulletin

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The treatment regimen for patients with diabetes involves a complex series of self-care behaviors. This article conceptualizes the regimen in terms of a behavioral self-regulation model for the control of blood sugar. The model, based on a negative feedback control system, includes four components: (a) behaviors related to the detection of discrepancies between actual and normal blood sugar, by urine or blood sugar monitoring; (b) corrective responses, such as the use of insulin, to normalize blood sugar; (c) minimization of disturbances to the system by such behaviors as stress reduction or dietary modification; and (d) self-reinforcement of self-regulatory behaviors. Research related to each aspect of the model is discussed, and suggestions are made for further research derived from the self-regulation model.

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Section: Self-regulation Model For Patients With Type I Diabetesmentioning

confidence: 99%

Behavioral self-regulation in the treatment of patients with diabetes mellitus.

Wing¹,

Epstein²,

Nowalk³

et al. 1986

Psychological Bulletin

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show abstract

“…Some studies assessed the effects of an immediate feedback on the accuracy of BG estimation. It was verified that, although BG estimation accuracy increased when compared to conditions without feedback (Gross, Magalnick & Delcher, 1985;Gross et al, 1983;Wing et al, 1984), the improvement was limited (Malerbi & Matos, 1994;Nurick & Bennett-Johnson, 1991).…”

Section: Introductionmentioning

confidence: 99%

Blood Glucose Discrimination Training: The Role of Internal and External Cues

Malerbi

Matos

2001

J Health Psychol

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The effects of observing internal and external events on blood glucose (BG) discrimination were assessed in eight patients with type 1 diabetes using an intrasubject design. During baseline condition, participants estimated their BG, then measured and recorded it (feedback-only procedure) three times a day. Participants were then divided randomly into two groups. Both were submitted to internal cue (IC) and external cue (EC) training conditions in a balanced order, and then both cues were presented together in combined cues (CC) training conditions. Under IC, participants observed and recorded their symptoms before estimating BG. Under EC, they observed and recorded environmental events prior to BG estimation. In CC conditions, participants paid attention to both internal and external cues before the estimate-feedback routine. BG estimation accuracy improved after either IC or EC conditions. When the two types of cues were combined, only two participants improved their BG estimation accuracy. The remainder did not, probably because they had already attained high accuracy levels (ceiling effect).

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“…Subjects provided knowledge of results in a two-alternative, forced-choice paradigm exhibited significant improvements in sensitivity to heart rate (Ashton, White, & Hodgson, 1979) and to both systolic and diastolic blood pressure (Greenstadt, Shapiro, & Whitehead, 1986). In a series of single-subject experiments, significant reductions in error rates between estimated and actual blood glucose levels were observed when feedback for actual blood glucose levels was provided to patients (Gross et al, 1983).…”

mentioning

confidence: 99%

Effects of feedback on the ability of asthmatic subjects to detect increases in the flow-resistive component to breathing.

Harver¹

1994

Health Psychology

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Improved perception of increases in airflow resistance may have implications in asthma self-management. Two experiments that evaluated effects of feedback on the detection of flow-resistive loads are summarized. In the first experiment, detection ability of asthma patients who received feedback about the correctness of their responses in a signal-detection task was compared with that of asthma patients who did not receive feedback. Experiment 1 showed that subjects in the feedback condition detected the presence of flow-resistive loads more accurately than subjects in the no-feedback condition. In the second experiment, effects of feedback were compared between asthmatic and nonasthmatic subjects. Experiment 2 showed that effects of feedback training were equivalent in subjects with and without asthma.

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Discrimination of Blood Glucose Levels in Insulin-Dependent Diabetics

Cited by 13 publications

References 12 publications

Behavioral self-regulation in the treatment of patients with diabetes mellitus.

Behavioral self-regulation in the treatment of patients with diabetes mellitus.

Blood Glucose Discrimination Training: The Role of Internal and External Cues

Effects of feedback on the ability of asthmatic subjects to detect increases in the flow-resistive component to breathing.

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