The Effect of Education and Self‐monitoring of Blood Glucose on Glycosylated Hemoglobin in Type I Diabetes

Abstract

The effect of education and self-monitoring of blood glucose on glycosylated hemoglobin in type I diabetes. Acta Med Scand 1985; 217: 47-53.The influence on glycosylated hemoglobin (HbAI) of formal education as compared with self-monitoring of blood glucose (SMBG) was studied in a randomized 18-month trial. All adult type I diabetics in a community were identified. Forty-one of these patients had had diabetes for 20 years or less. Thirty-seven patients were included in the study and finally randomized into four groups. Ten patients received individual formal education followed by SMBG, eight patients were instructed in SMBG without pre-education, nine patients were given only formal education and 10 patients made up a reference group. Education did not improve the mean HbA, values. SMBG resulted in a decrease by 2 % in HbAI, from 12 to 10% (p<0.05). The final HbAl level, however, did not differ significantly between any of the groups. SMBG was accepted by 80% of the patients. The liability to hypoglycemia was about equal in the four groups. It was concluded that SMBG, but not education, improved metabolic control to a certain degree.

Audit diabetes‐dependent quality of life questionnaire: usefulness in diabetes self‐management education in the Slovak population

“…2005) and UK with almost identical results demonstrating that intensified insulin therapy, which combines treatment and education patients to self‐adapt insulin dosage flexibility, leads to improvements of glycaemic control, of the QoL and reduction of short‐term complications including the incidence of severe hypoglycaemia (Lau et al. 2004, Terent et al. 1987, Sämann et al.…”

Self blood glucose monitoring in type 2 diabetes. A financial impact analysis based on UK primary care

“…The outcome benefit demonstrated in DCCT and SDCS cannot, of course, be attributed exclusively to SMBG use – it constituted a single element of the active intervention programme. Studies explicitly testing SMBG in type 1 diabetes have tended to be small and their results inconclusive (9–17), but there is nonetheless general acceptance of the value of SMBG amongst insulin‐treated patients and consensus guidelines advise its routine use (18,19). There is considerably less agreement over whether SMBG should form a routine part of the management of non‐insulin‐treated diabetes.…”

Changes Induced by Recreational and Educational Activities in Children With Diabetes

“…Such a process simultaneously promotes the development of healthy behavioral changes and the consequent active and effective participation in the control and treatment of the disease. [1][2][3][4][5][6][7] Therapeutic education should start at diabetes diagnosis and should include the child and family members. Contents, pedagogical methodology, language, and didactic material should adapt to the age and maturity of the child.…”