PMID- 7888692
OWN - NLM
STAT- MEDLINE
DCOM- 19950420
LR  - 20221207
IS  - 0940-5429 (Print)
IS  - 0940-5429 (Linking)
VI  - 31
IP  - 4
DP  - 1994 Dec
TI  - Self-monitoring of blood glucose in overweight type 2 diabetic patients.
PG  - 215-9
AB  - Self-monitoring of blood glucose (SBGM) is widely recommended for both type 1 and 
      type 2 diabetic patients despite the lack of evidence of benefit in glucose 
      control or as an aid in weight loss in type 2 subjects. This study tested the 
      hypothesis that combined use of SMBG and dietary carbohydrate (CHO) counting, 
      using the blood monitoring results to shape dietary CHO quotas, is beneficial in 
      managing type 2 diabetes. Twenty-three overweight (body mass index, BMI 27.5-44 
      kg/m2) patients aged 40-75 participated in a 28-week behavioral weight control 
      program. Baseline hemoglobin HbA1c ranged between 9.5% and 13.5% (normal range 
      5.5%-7.7%). Subjects were matched for weight, sex, and HbA1c and assigned to 
      small (4-8 participants) groups which met weekly for 12 weeks and then monthly 
      for 16 weeks. After 8 weeks, the groups were randomized either to continue the 
      behavioral program or to have SMBG and dietary CHO counting. Glucose monitoring 
      was performed 6 times daily (pre- and 2 h postprandially) for the first month, 
      focusing on the meal increment and correlating this to dietary CHO intake. Weight 
      loss was identical in both groups during the year of follow-up. The HbA1c level 
      showed a progressive decline in experimental subjects (P < 0.05), whereas there 
      was no improvement in control subjects.
FAU - Muchmore, D B
AU  - Muchmore DB
AD  - Division of Diabetes and Endocrinology, Scripps Clinic and Research Foundation, 
      La Jolla, CA 92037.
FAU - Springer, J
AU  - Springer J
FAU - Miller, M
AU  - Miller M
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
PL  - Germany
TA  - Acta Diabetol
JT  - Acta diabetologica
JID - 9200299
RN  - 0 (Dietary Carbohydrates)
RN  - 0 (Glycated Hemoglobin A)
SB  - IM
MH  - Adult
MH  - Aged
MH  - *Blood Glucose Self-Monitoring/methods
MH  - Body Mass Index
MH  - Diabetes Mellitus, Type 2/*blood/*diet therapy/drug therapy
MH  - Diet, Diabetic
MH  - Dietary Carbohydrates/administration & dosage
MH  - Female
MH  - Glycated Hemoglobin/metabolism
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Obesity/*blood/*diet therapy
MH  - Quality of Life
EDAT- 1994/12/01 00:00
MHDA- 1994/12/01 00:01
CRDT- 1994/12/01 00:00
PHST- 1994/12/01 00:00 [pubmed]
PHST- 1994/12/01 00:01 [medline]
PHST- 1994/12/01 00:00 [entrez]
AID - 10.1007/BF00571954 [doi]
PST - ppublish
SO  - Acta Diabetol. 1994 Dec;31(4):215-9. doi: 10.1007/BF00571954.