Effectiveness of self-monitoring among workers with type 2 diabetes, impaired fasting glucose(IFG) and impaired glucose tolerance(IGT)

2016 Fiscal Year Final Research Report

• Project/Area Number: 25463421
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Clinical nursing
• Research Institution: Kanagawa University of Human Services
• Principal Investigator: SHIRAMIZU Mariko 神奈川県立保健福祉大学, 保健福祉学部, 教授 (60228939)
• Project Period (FY): 2013-04-01 – 2017-03-31
• Keywords: 糖尿病 / 看護学 / 血糖自己測定（SMBG） / セルフモニタリング / 患者教育

Outline of Final Research Achievements

This was a randomized controlled study to assess the effectiveness of structured self-monitoring of blood glucose testing among noninsulin-treated type 2 diabetes patients. Patients were recruited and randomized to a control group (CG) with usual care or a structured testing group (STG) at least every other month use of structured self-monitoring of blood glucose (SMBG). STG patients were trained to use a paper tool to collect 7-point glucose profiles over 3 consecutive days. The primary end point was HbA1c level measured at 6 months. The 6-month median HbA1c (IQR) of STG group was 7.2% and that of CG group was 7.6%; there was no statistically significant deference between them. Only the STG group showed significant reductions of median HbA1c from 7.5% to 7.2%.
We clarified experience of this self-monitoring for workers by semi-structured interview. Participants learned to know the pattern of the blood glucose and they were conscious of behavior change.

Free Research Field

看護学