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M J O’Kane
Dr M J O’Kane, Altnagelvin Hospital, Londonderry, Northern Ireland; firstname.lastname@example.org
randomised controlled trial (Efficacy of Self Monitoring On glycaemic control in Newly diagnosed type 2 diabetes [ESMON]).
unclear allocation concealment.*
blinded (laboratory staff).*
outpatient hospital diabetes clinics in Altnagelvin, Belfast City, Causeway, and Ulster, Northern Ireland.
184 patients <70 years of age (mean age 59 y, 60% men) with newly diagnosed type 2 diabetes. Exclusion criteria were secondary diabetes, previous self-monitoring of blood glucose (SMBG), use of insulin, major illness in the past 6 months, chronic kidney or liver disease, and alcohol misuse.
SMBG (n = 96) or no monitoring (n = 88). The SMBG group made 4 fasting and 4 postprandial capillary blood glucose measurements per week and were provided dietary and exercise suggestions for high readings. All patients attended a structured education programme.
changes in haemoglobin (Hb) A1c concentrations, scores on psychological indices (depression, anxiety, treatment satisfaction, and attitude; measured on a 100-point scale), body mass index (BMI), rates of hypoglycaemia, and use of oral hypoglycaemic drugs.
98% (intention-to-treat analysis).
Patients in the SMBG group scored 6% higher on the depression subscale than did the no-monitoring group (p = 0.01). Groups did not differ for changes in HbA1c concentration (table), anxiety, …
Source of funding: Northern Ireland Research and Development.