Whereas self-monitoring of blood glucose (SMBG) is the recommended source of information on which to make self-care decisions, patients frequently use estimates of their own blood glucose (BG). This study evaluated whether patients with insulin-dependent diabetes mellitus (IDDM) could learn to improve accuracy of BG estimations and whether this would lead to improved metabolic control. Subjects in BG awareness training improved both their BG-estimation accuracy and glycosylated hemoglobin (HbA1) compared with the control group. Initial BG-estimation accuracy was marginally associated with pretreatment HbA1 and months of previous SMBG experience. Posttreatment improvement was associated with pretreatment BGestimation accuracy and the ability to counterregulate to insulin-induced hypoglycemia.
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Original Articles|
May 01 1989
Effects and Correlates of Blood Glucose Awareness Training Among Patients With IDDM
Daniel J Cox, PhD;
Daniel J Cox, PhD
Behavioral Medicine Center, Blue Ridge Hospital, University of Virginia School of Medicine
Charlottesville, Virginia
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Linda A Gonder-Frederick, PhD;
Linda A Gonder-Frederick, PhD
Behavioral Medicine Center, Blue Ridge Hospital, University of Virginia School of Medicine
Charlottesville, Virginia
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Jana H Lee, MA;
Jana H Lee, MA
Behavioral Medicine Center, Blue Ridge Hospital, University of Virginia School of Medicine
Charlottesville, Virginia
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Diana M Julian, MA;
Diana M Julian, MA
Behavioral Medicine Center, Blue Ridge Hospital, University of Virginia School of Medicine
Charlottesville, Virginia
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William R Carter, PhD;
William R Carter, PhD
Behavioral Medicine Center, Blue Ridge Hospital, University of Virginia School of Medicine
Charlottesville, Virginia
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William L Clarke, MD
William L Clarke, MD
Behavioral Medicine Center, Blue Ridge Hospital, University of Virginia School of Medicine
Charlottesville, Virginia
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Address correspondence and reprint requests to Daniel J. Cox, PhD, Behavioral Medicine Center, Drawer F, Blue Ridge Hospital, University of Virginia, Charlottesville, VA 22901.
Citation
Daniel J Cox, Linda A Gonder-Frederick, Jana H Lee, Diana M Julian, William R Carter, William L Clarke; Effects and Correlates of Blood Glucose Awareness Training Among Patients With IDDM. Diabetes Care 1 May 1989; 12 (5): 313–318. https://doi.org/10.2337/diacare.12.5.313
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