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14.09.2017 | Original Research | Ausgabe 5/2017 Open Access

Diabetes Therapy 5/2017

Improved Glycemic Control in a Patient Group Performing 7-Point Profile Self-Monitoring of Blood Glucose and Intensive Data Documentation: An Open-Label, Multicenter, Observational Study

Zeitschrift:
Diabetes Therapy > Ausgabe 5/2017
Autoren:
Jochen Sieber, Frank Flacke, Manuela Link, Cornelia Haug, Guido Freckmann
Wichtige Hinweise

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Abstract

Introduction

Regular self-monitoring of blood glucose (SMBG) is recommended as an integral part of therapy for all patients with diabetes treated with insulin. In the current study, the effects on glycemic control of taking 7-point SMBG profiles and using a diabetes management system (DMA) on a smartphone were investigated.

Methods

In a 12-week, open-label, multicenter, observational study, 51 patients [26 with type 1 diabetes mellitus (T1DM) and 25 with type 2 diabetes mellitus (T2DM)] were instructed to perform SMBG at least seven times a day using DMA combined with the iBGStar ® SMBG system. HbA1c was measured at regular visits to the study sites. Patients reviewed and managed their data as well as their treatment on their own and there were no further assistance or treatment recommendations. Adverse events (AEs) were recorded throughout.

Results

Overall, mean (SD) change from baseline in HbA1c at week 12 was −0.46 (0.57)% [−5 (6) mmol/mol (p < 0.0001)]. The change in HbA1c was observed in patients with T1DM [−0.27 (0.45)% (−3 [5] mmol/mol; p = 0.0063)] and T2DM [−0.65 (0.62)% (−7 [7] mmol/mol; p < 0.0001)]. The change in HbA1c was not correlated with an increased number of hypoglycemic events (blood glucose less than 55 mg/dL). The majority of AEs were symptomatic hypoglycemic events (42 events; nine patients).

Conclusions

Glycemic control can be improved, without receiving any recommendations or advice on insulin dose, by performing daily 7-point SMBG profiles and using electronic documentation with a smartphone app. These results must be confirmed in a larger controlled trial, but they already strengthen the importance of structured SMBG in diabetes therapy.

Funding

Sanofi.
Literatur
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