Use of blood glucose data by families of children and adolescents with IDDM
Use of blood glucose data by families of children and adolescents with IDDM. T Wysocki , B S Hough , K M Ward , A A Allen and N Murgai Department of Psychology, Children's Hospital, Columbus, OH 43205. Abstract OBJECTIVE--Prospective evaluation of the use of blood glucose test results for treat...
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Published in | Diabetes care Vol. 15; no. 8; pp. 1041 - 1044 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Alexandria, VA
American Diabetes Association
01.08.1992
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Subjects | |
Online Access | Get full text |
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Summary: | Use of blood glucose data by families of children and adolescents with IDDM.
T Wysocki ,
B S Hough ,
K M Ward ,
A A Allen and
N Murgai
Department of Psychology, Children's Hospital, Columbus, OH 43205.
Abstract
OBJECTIVE--Prospective evaluation of the use of blood glucose test results for treatment actions by families of youth with
IDDM. RESEARCH DESIGN AND METHODS--Forty-seven patients with IDDM used reflectance meters with memory for SMBG for 28 days.
Parents kept weekly diaries of six types of uses of SMBG data. We collected SMBG data from the reflectance meters, HbA1 and
serum fructosamine assays, and measures of behavioral factors that could affect use of SMBG data. RESULTS--Families recorded
a mean of 4.85 data-based actions during the 28-day study, and 74% of the families reported at least one such action. Fifty
percent of recorded actions consisted of management of hypoglycemia and, among the remainder, only 18% were anticipatory,
proactive actions. Partial correlation analysis showed that families with more frequent use of SMBG data had less parent-child
conflict about diabetes, more diabetes knowledge, and better overall treatment adherence. Use of SMBG data was unrelated to
objective indices of the need for treatment adjustments or to diabetic control. CONCLUSIONS--Most families made active use
of their SMBG data, but few of these actions were proactive. Behavioral factors were stronger predictors of family use of
SMBG data than were objective indices of the need for treatment adjustments. The results illustrate the need for further research
on use of SMBG data and methods to enhance its impact on diabetic control. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 0149-5992 1935-5548 |
DOI: | 10.2337/diacare.15.8.1041 |