Home blood glucose monitoring in type 1 diabetes mellitus

Authors

  • Sonia Aurora Alves Grossi Universidade de São Paulo; Escola de Enfermagem
  • Simão Augusto Lottenberg Universidade de São Paulo; Faculdade de Medicina
  • Ana Maria Lottenberg Universidade de São Paulo; Faculdade de Medicina
  • Thaís Della Manna Universidade de São Paulo; Faculdade de Medicina
  • Hilton Kuperman Universidade de São Paulo; Faculdade de Medicina

DOI:

https://doi.org/10.1590/S0104-11692009000200009

Keywords:

diabetes mellitus, type 1, blood glucose self-monitoring, nursing

Abstract

OBJECTIVE: To determine which of two simplified blood glucose monitoring schemes promotes better metabolic control in type1 diabetic patients during 12 months of participation in educational groups. METHODS: A crossover clinical trial involving 21 patients divided into two groups was conducted. They were submitted to a two monitoring schemes:2 alternate daily preprandial measurements and 2 alternate daily pre-and postprandial measurements. The effectiveness of the schemes was evaluated based on HbA1c. Variations in mean HbA1c were analyzed by Friedman test. RESULTS: The groups were homogenous in terms of sociodemographic and clinical variables (p>;0.05). Mean HbA1c levels ranged from 8.48 (±1.00) to 7.37 (±0.99) over time in Group A and from 9.89 (±0.86) to 8.34 (±1.06) in Group B. The analysis of the HbA1c showed a significant reduction in the first and last 6 months and over the 12 months of the study in two groups (p<0.05). The preprandial scheme demonstrated the largest number and highest percentage of significant drops in HbA1c. CONCLUSIONS: The two monitoring improved the metabolic control and the preprandial scheme was more effective.

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Published

2009-04-01

Issue

Vol. 17 No. 2 (2009)

Section

Original Articles

License

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How to Cite

Home blood glucose monitoring in type 1 diabetes mellitus. (2009). Revista Latino-Americana De Enfermagem, 17(2), 194-200. https://doi.org/10.1590/S0104-11692009000200009