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Home blood glucose monitoring

Effectiveness in a general population of patients who have non-insulin-dependent diabetes mellitus

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Abstract

Objective: To determine whether home blood glucose monitoring as used by non-insulin-dependent diabetes mellitus patients followed in primary care nonresearch clinics improves glycemic control or reduces utilization of the outpatient laboratory.

Design: A retrospective chart reviewfor 229 patients receiving outpatient supplies for home testing of either blood or urine.

Setting: A variety of nonresearch clinics at a Veterans Affairs Medical Center, a teaching hospital affiliated with an academic university medical center.

Patients: Outpatient veterans followed in diabetes, primary care, internal medicine, or endocrine clinics.

Interventions: None.

Measurements and main results: The mean glycosylated hemoglobin for an unselected group monitoring glycemic control by urine testing only was 11.32% and for those using blood monitoring was 11.37%. Frequency and duration of monitoring had no apparent impact on glucose control. There was no decrease in the utilization of the laboratory among those patients practicing home blood glucose monitoring.

Conclusions: For non-insulin-dependent diabetic patients followed in a nonresearch clinic setting, the benefits of home blood glucose monitoring remain to be proven.

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Authors and Affiliations

  1. 1055 Clermont Street, 80220, Denver, CO

    Catherine E. Klein MD

Authors
  1. Catherine E. Klein MD
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  2. Sylvia K. Oboler MD
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  3. Allan Prochazka MD
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  4. Steven Oboler MD
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  5. Marian Frank RNC
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  6. Michael Glugla RNC
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  7. Sheila Winters RNC
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Additional information

Received from the Ambulatory Care Service, Denver Veterans Affairs Medical Center, Denver, Colorado.

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Klein, C.E., Oboler, S.K., Prochazka, A. et al. Home blood glucose monitoring. J Gen Intern Med 8, 597–601 (1993). https://doi.org/10.1007/BF02599711

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  • DOI: https://doi.org/10.1007/BF02599711

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