TY - JOUR
T1 - Effects of physician’s diabetes self-management education using Japan Association of Diabetes Education and Care Diabetes Education Card System Program and a self-monitoring of blood glucose readings analyzer in individuals with type 2 diabetes
T2 - An exploratory, open-labeled, prospective randomized clinical trial
AU - Tanaka, Nagaaki
AU - Yabe, Daisuke
AU - Murotani, Kenta
AU - Yamaguchi, Yuko
AU - Fujita, Yuki
AU - Kubota, Sodai
AU - Nakashima-Yasuda, Rena
AU - Kubota-Okamoto, Saki
AU - Ueno, Shinji
AU - Yamazaki, Yuji
AU - Kuwata, Hitoshi
AU - Watanabe, Koin
AU - Hyo, Takanori
AU - Hamamoto, Yoshiyuki
AU - Kurose, Takeshi
AU - Higashiyama, Hiroko
AU - Seino, Yusuke
AU - Yamada, Yuichiro
AU - Seino, Yutaka
N1 - Publisher Copyright:
© 2021 The Authors. Journal of Diabetes Investigation published by Asian Association for the Study of Diabetes (AASD) and John Wiley & Sons Australia, Ltd
PY - 2021/12
Y1 - 2021/12
N2 - Aims/Introduction: This 6-month, single-center, prospective, open-labeled, randomized trial was designed to investigate whether physicians’ diabetes self-management education using an education tool developed by the Japan Association of Diabetes Education and Care and a self-monitoring of blood glucose (SMBG) analyzer improves glycemic control in individuals with type 2 diabetes receiving insulin and SMBG. Materials and Methods: Participants were randomized into intervention (I) and control (C) groups. Both groups received physicians’ diabetes self-management education at each hospital visit, whereas the Japan Association of Diabetes Education and Care education tool and the SMBG readings analyzer was used in group I, but not group C. All participants filled out a diabetes treatment-related quality of life form and an original questionnaire on SMBG use with five questions (Q1–Q5) before and after the study period. Results: A total of 76 individuals were recruited and randomized. Glycated hemoglobin (HbA1c) was significantly improved during the study period in group I, whereas no significant change was observed in group C. The change in HbA1c was greater in group I, although it did not reach statistical significance. The diabetes treatment-related quality of life total score was not changed in either group. Interestingly, the score of Q1 (“How important is SMBG to you?”) in the SMBG questionnaire was unchanged in group I, whereas it was significantly decreased in group C. HbA1c change was independently associated with changes in insulin dose and SMBG Q1 score. Conclusion: Greater HbA1c-lowering by physicians’ diabetes self-management education using the Japan Association of Diabetes Education and Care education tool and SMBG analyzer in individuals with type 2 diabetes receiving insulin and SMBG was suggested, but not confirmed.
AB - Aims/Introduction: This 6-month, single-center, prospective, open-labeled, randomized trial was designed to investigate whether physicians’ diabetes self-management education using an education tool developed by the Japan Association of Diabetes Education and Care and a self-monitoring of blood glucose (SMBG) analyzer improves glycemic control in individuals with type 2 diabetes receiving insulin and SMBG. Materials and Methods: Participants were randomized into intervention (I) and control (C) groups. Both groups received physicians’ diabetes self-management education at each hospital visit, whereas the Japan Association of Diabetes Education and Care education tool and the SMBG readings analyzer was used in group I, but not group C. All participants filled out a diabetes treatment-related quality of life form and an original questionnaire on SMBG use with five questions (Q1–Q5) before and after the study period. Results: A total of 76 individuals were recruited and randomized. Glycated hemoglobin (HbA1c) was significantly improved during the study period in group I, whereas no significant change was observed in group C. The change in HbA1c was greater in group I, although it did not reach statistical significance. The diabetes treatment-related quality of life total score was not changed in either group. Interestingly, the score of Q1 (“How important is SMBG to you?”) in the SMBG questionnaire was unchanged in group I, whereas it was significantly decreased in group C. HbA1c change was independently associated with changes in insulin dose and SMBG Q1 score. Conclusion: Greater HbA1c-lowering by physicians’ diabetes self-management education using the Japan Association of Diabetes Education and Care education tool and SMBG analyzer in individuals with type 2 diabetes receiving insulin and SMBG was suggested, but not confirmed.
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U2 - 10.1111/jdi.13607
DO - 10.1111/jdi.13607
M3 - Article
C2 - 34087060
AN - SCOPUS:85111539685
SN - 2040-1116
VL - 12
SP - 2221
EP - 2231
JO - Journal of Diabetes Investigation
JF - Journal of Diabetes Investigation
IS - 12
ER -
