The effects of structured self-monitoring of blood glucose on therapeutic effectiveness and adherence in patients with type 2 diabetes mellitus initiating insulin treatment

Aim. To compare the efficiency of standard and structured approaches to self-monitoring of blood glucose (SMBG) in patients with type 2 diabetes mellitus (T2DM) initiating insulin treatment. Materials and Methods. This open prospective randomized clinical trial included 51 T2DM patients who initi...

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Autores principales:	Lyudmila Alexandrovna Suvorova, Alexander Vladimirovich Petrov, Leonid Grigor'evich Strongin
Formato:	article
Lenguaje:	EN RU
Publicado:	Endocrinology Research Centre 2013
Materias:	type 2 diabetes mellitus self-monitoring of blood glucose insulin initiation Nutritional diseases. Deficiency diseases RC620-627
Acceso en línea:	https://doaj.org/article/47227aa48bec4dd9ae590bccee119a23
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spelling	oai:doaj.org-article:47227aa48bec4dd9ae590bccee119a232021-11-14T09:00:18ZThe effects of structured self-monitoring of blood glucose on therapeutic effectiveness and adherence in patients with type 2 diabetes mellitus initiating insulin treatment2072-03512072-037810.14341/DM2013452-57https://doaj.org/article/47227aa48bec4dd9ae590bccee119a232013-12-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/6269https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Aim. To compare the efficiency of standard and structured approaches to self-monitoring of blood glucose (SMBG) in patients with type 2 diabetes mellitus (T2DM) initiating insulin treatment. Materials and Methods. This open prospective randomized clinical trial included 51 T2DM patients who initiated insulin therapy in either outpatient or inpatient setting. Subjects were randomized in standard and structured SMBG groups, the structured group used an advanced Accu-Chek 360 View protocol. Evaluation included clinical examination and laboratory testing of HbA1c levels at the beginning of the treatment and after 3 months of the follow-up period. Results. 70% of the structured self-monitoring group and 32% of the control group achieved therapeutic goals (p=0.008). Higher adherence was associated with better glycemic control in both groups ? and vice versa. However, among patients with low adherence, 73% of advanced SMBG group managed to achieve therapeutic goals vs. 19% in the control group (p=0.005). In addition, patients in the structured monitoring group gained less weight as compared to the control (1.0?2.88 kg vs. 3.2?2.56 kg; p=0.005). Conclusion. Structured SMBG commenced at the initiation of insulin therapy improves glycemic control in a greater fraction of patients, especially in those with low adherence to treatment. Structured SMBG also partially alleviates weight gain as side effect of insulin treatment.Lyudmila Alexandrovna SuvorovaAlexander Vladimirovich PetrovLeonid Grigor'evich StronginEndocrinology Research Centrearticletype 2 diabetes mellitusself-monitoring of blood glucoseinsulin initiationNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 16, Iss 4, Pp 52-57 (2013)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	type 2 diabetes mellitus self-monitoring of blood glucose insulin initiation Nutritional diseases. Deficiency diseases RC620-627
spellingShingle	type 2 diabetes mellitus self-monitoring of blood glucose insulin initiation Nutritional diseases. Deficiency diseases RC620-627 Lyudmila Alexandrovna Suvorova Alexander Vladimirovich Petrov Leonid Grigor'evich Strongin The effects of structured self-monitoring of blood glucose on therapeutic effectiveness and adherence in patients with type 2 diabetes mellitus initiating insulin treatment
description	Aim. To compare the efficiency of standard and structured approaches to self-monitoring of blood glucose (SMBG) in patients with type 2 diabetes mellitus (T2DM) initiating insulin treatment. Materials and Methods. This open prospective randomized clinical trial included 51 T2DM patients who initiated insulin therapy in either outpatient or inpatient setting. Subjects were randomized in standard and structured SMBG groups, the structured group used an advanced Accu-Chek 360 View protocol. Evaluation included clinical examination and laboratory testing of HbA1c levels at the beginning of the treatment and after 3 months of the follow-up period. Results. 70% of the structured self-monitoring group and 32% of the control group achieved therapeutic goals (p=0.008). Higher adherence was associated with better glycemic control in both groups ? and vice versa. However, among patients with low adherence, 73% of advanced SMBG group managed to achieve therapeutic goals vs. 19% in the control group (p=0.005). In addition, patients in the structured monitoring group gained less weight as compared to the control (1.0?2.88 kg vs. 3.2?2.56 kg; p=0.005). Conclusion. Structured SMBG commenced at the initiation of insulin therapy improves glycemic control in a greater fraction of patients, especially in those with low adherence to treatment. Structured SMBG also partially alleviates weight gain as side effect of insulin treatment.
format	article
author	Lyudmila Alexandrovna Suvorova Alexander Vladimirovich Petrov Leonid Grigor'evich Strongin
author_facet	Lyudmila Alexandrovna Suvorova Alexander Vladimirovich Petrov Leonid Grigor'evich Strongin
author_sort	Lyudmila Alexandrovna Suvorova
title	The effects of structured self-monitoring of blood glucose on therapeutic effectiveness and adherence in patients with type 2 diabetes mellitus initiating insulin treatment
title_short	The effects of structured self-monitoring of blood glucose on therapeutic effectiveness and adherence in patients with type 2 diabetes mellitus initiating insulin treatment
title_full	The effects of structured self-monitoring of blood glucose on therapeutic effectiveness and adherence in patients with type 2 diabetes mellitus initiating insulin treatment
title_fullStr	The effects of structured self-monitoring of blood glucose on therapeutic effectiveness and adherence in patients with type 2 diabetes mellitus initiating insulin treatment
title_full_unstemmed	The effects of structured self-monitoring of blood glucose on therapeutic effectiveness and adherence in patients with type 2 diabetes mellitus initiating insulin treatment
title_sort	effects of structured self-monitoring of blood glucose on therapeutic effectiveness and adherence in patients with type 2 diabetes mellitus initiating insulin treatment
publisher	Endocrinology Research Centre
publishDate	2013
url	https://doaj.org/article/47227aa48bec4dd9ae590bccee119a23
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The effects of structured self-monitoring of blood glucose on therapeutic effectiveness and adherence in patients with type 2 diabetes mellitus initiating insulin treatment

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