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Evidence-Based Medicine 2008;13:7; doi:10.1136/ebm.13.1.7
Copyright © 2008 by the BMJ Publishing Group Ltd.

THERAPEUTICS

Self-monitoring of blood glucose did not improve glycaemic control in patients with type 2 diabetes not treated with insulin

The first 150 words of the full text of this article appear below.

A Farmer

Dr A Farmer, University of Oxford, Oxford, UK; andrew.farmer@dphpc.ox.ac.uk


STUDY DESIGN

Design:

randomised controlled trial (Diabetes Glycaemic Education and Monitoring [DiGEM] study).

Allocation:

concealed.*

Blinding:

blinded (laboratory staff).*


STUDY QUESTION

Setting:

48 general practices in Oxfordshire and South Yorkshire, UK.

Patients:

453 patients >=25 years of age at diagnosis of type 2 diabetes (mean age 66 y at study entry, 57% men, median duration of diabetes 3 y) who were managed with diet or oral hypoglycaemic agents alone, had haemoglobin A1c (HbA1c) level >=6.2% (mean 7.5%), and were independent in activities of daily living. Exclusion criteria included serious disease and use of a blood glucose meter >=2 times/week in the previous 3 months.

Intervention:

self-testing by use of a blood glucose meter 3 times daily 2 days/week, with instructions to contact their physician if readings were consistently high or low (self-testing group, n = 150); self-testing (as above) plus training in timing, interpreting, and using the test . . . [Full text of this article]

Frank Waldron-Lynch1

Sean Dinneen2

1 Galway University Hospitals, Galway, Ireland
2 National University of Ireland, Galway, Ireland


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Caution Warranted
John B Waits
EBM Online, 28 Nov 2008 [Full text]

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