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Diabetes Reflect Study: Redefining Fundamental Learning of SMBG through Educational Color Tools

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DOI: 10.4236/ijcm.2015.64028    2,874 Downloads   3,281 Views  

ABSTRACT

Aims: To investigate the effects of a newly developed color-coded educational glucose control instruction (COLOR), combined with a color-displayed glucose meter on changes in type-2 diabetes patient’s behavior and their HbA1c levels. Material and Methods: Patients using a COLOR-self-monitoring of blood glucose (SMBG) method were instructed to record daily blood glucose levels with red (high glucose ≥ 180 mg/dL) or blue (low glucose ≤ 70 mg/dL) colored circles on their SMBG notebooks according to the colors displayed on the glucose meter. Results: COLOR-SMBG showed an improved the actual behavior modification scores by 14% compared to Conventional group at 1-month follow-up (p < 0.05). The mean HbA1c levels of COLOR-SMBG significantly decreased at 2 months (0.14% ± 0.28%, p < 0.01), 4 months (0.31% ± 0.48%, p = 0.05), and 6 months (0.39% ± 0.49%, p = 0.01) follow-up. Conclusions: The results suggest for the first time the usefulness of the instructional intervention using COLOR-SMBG for patients with type 2 diabetes. This trial was registered with UMIN (No. UMIN000011767).

Conflicts of Interest

The authors declare no conflicts of interest.

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Suzuki, K. , Sato, T. and Hatta, M. (2015) Diabetes Reflect Study: Redefining Fundamental Learning of SMBG through Educational Color Tools. International Journal of Clinical Medicine, 6, 227-234. doi: 10.4236/ijcm.2015.64028.

References

[1] Diabetes Control and Complications Trial (DCCT) Research Group (1993) The Effect of Intensive Treatment of Diabetes on the Development and Progression of Long-Term Complications in Insulin-Dependent Diabetes Mellitus. New England Journal of Medicine, 329, 977-986.
http://dx.doi.org/10.1056/NEJM199309303291401
[2] United Kingdom Prospective Diabetes Study (UKPDS) Group (1998) Intensive Blood-Glucose Control with Sulfonylureas or Insulin Compared with Conventional Treatment and Risk of Complications in Patients with Type 2 Diabetes (UKPDS 33). Lancet, 352, 837-853.
http://dx.doi.org/10.1016/S0140-6736(98)07019-6
[3] Ohkubo, Y., Kishikawa, H., Araki, E., Miyata, T., Isami, S., Motoyoshi, S., et al. (1995) Intensive Insulin Therapy Prevents the Progression of Diabetic Micro Vascular Complications in Japanese Patients with Non-Insulin-Dependent Diabetes Mellitus: A Randomized Prospective 6-Year Study. Diabetes Research and Clinical Practice, 28, 103-117.
http://dx.doi.org/10.1016/0168-8227(95)01064-K
[4] Welschen, L.M., Bloemendal, E., Nijpels, G., Dekker, J.M., Heine, R.J., Stalman, W.A., et al. (2005) Self-Monitoring of Blood Glucose in Patients with Type 2 Diabetes Who Are Not Using Insulin: A Systematic Review. Diabetes Care, 28, 1510-1517.
http://dx.doi.org/10.2337/diacare.28.6.1510
[5] Sarol Jr., J.N., Nicodemus Jr., N.A., Tan, K.M. and Grava, M.B. (2005) Self-Monitoring of Blood Glucose as Part of a Multi-Component Therapy among Non-Insulin Requiring Type 2 Diabetes Patients: A Meta-Analysis (1966-2004). Current Medical Research and Opinion, 21, 173-184.
http://dx.doi.org/10.1185/030079904X20286
[6] Norris, S.L., Engelgau, M.M. and Narayan, K.M. (2001) Effectiveness of Self-Management Training in Type 2 Diabetes: A Systematic Review of Randomized Controlled Trials. Diabetes Care, 24, 561-587.
http://dx.doi.org/10.2337/diacare.24.3.561
[7] St. John, A., Davis, W.A., Price, C.P. and Davis, T.M. (2010) The Value of Self-Monitoring of Blood Glucose: A Review of Recent Evidence. Journal of Diabetes and Its Complications, 24, 129-141.
http://dx.doi.org/10.1016/j.jdiacomp.2009.01.002
[8] Karter, A.J., Ackerson, L.M., Darbinian, J.A., D’Agostino Jr., R.B., Ferrara, A., Liu, J., et al. (2001) Self-Monitoring of Blood Glucose Levels and Glycemic Control: The Northern California Kaiser Permanente Diabetes Registry. The American Journal of Medicine, 111, 1-9.
http://dx.doi.org/10.1016/S0002-9343(01)00742-2
[9] Ziegler, R., Heidtmann, B., Hilgard, D., Hofer, S., Rosenbauer, J. and Holl, R., DPV-Wiss-Initiative (2011) Frequency of SMBG Correlates with HbA1c and Acute Complications in Children and Adolescents with Type 1 Diabetes. Pediatric Diabetes, 12, 11-17.
http://dx.doi.org/10.1111/j.1399-5448.2010.00650.x
[10] American Diabetes Association (2013) Standards of Medical Care in Diabetes-2013. Diabetes Care, 36, S11-S66.
http://dx.doi.org/10.2337/dc13-S011
[11] International Diabetes Federation (2005) Global Guideline for Type 2 Diabetes.
http://www.idf.org/guidelines/type-2-diabetes
[12] Hashimoto, N., Hirota, Y., Sakaguchi, K., et al. (2010) Examination of Usefulness of Color Indicator Function of OneTouch UltraVueTM. Medicine and Pharmacy, 63, 637-642.
[13] Urata, K., Yonaga, K., Hirakawa, M., et al. (2010) Usage Evaluation of Self-Monitoring Blood Glucose Monitor OneTouch UltraVueTM in Patients with Type 2 Diabetes. Practice, 27, 691-695.
[14] Minami, R. (2003) “How to Utilize Color” for Nursing Care. Gendai Shorin, Tokyo, 109-132.
[15] Ijima, H., Nakamura, M., Miyano, M., et al. (2011) Examination of Visibility and Instruction Method for the Visually Impaired Who Has Difficulty with the Operation of SMBG Measurement. Diabetes, 54, S-213.
[16] Doi, K. (2010) Relationship between the New Year Holidays and HbA1c. Obesity and Diabetes, 9, 254-255.
[17] Lshii, H., Suzuki, H., Baba, T., Nakamura, K. and Watanabe, T. (2001) Seasonal Variation of Glycemic Control in Type 2 Diabetic Patients. Diabetes Care, 24, 1503.
http://dx.doi.org/10.2337/diacare.24.8.1503
[18] Sakura, H., Tanaka, Y. and Iwamoto, Y. (2010) Seasonal Fluctuations of Glycated Hemoglobin Levels in Japanese Diabetic Patients. Diabetes Research and Clinical Practice, 88, 65-70.
http://dx.doi.org/10.1016/j.diabres.2009.12.011
[19] Norris, S.L., Lau, J., Smith, S.J., Schmid, C.H. and Engelgau, M.M. (2002) Self-Management Education for Adults with Type 2 Diabetes: A Meta-Analysis of the Effect on Glycemic Control. Diabetes Care, 25, 1159-1171.
http://dx.doi.org/10.2337/diacare.25.7.1159
[20] Training Guidebook for Diabetologist. 4th Edition, Japan Diabetes Society, Shindan & Chiryou, Tokyo, 70.

  
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