糖尿病患者に対する血糖自己測定の教育効果

Abstract

We evaluated the educational efficacy of self-monitoring of blood glucose (SMBG) in patients with diabetes mellitus. In a cross-sectional study, 60 patients were divided into three groups : patients not using SMBG (C1 group), patients using SMBG (S1 group), and patients using SMBG accompanied by an educational program (E group). In the follow-up study, 15 patients using SMBG (S2 group) and age-duration-matched patients not using SMBG (C2 group) were assessed for a period of 6 months. The efficacy of education was determined using a 14-item questionnaire modified from the Goals for Diabetes Education (Knowledge score). Knowledge score was significantly higher in groups E and S than in group C1. Knowledge score was significantly increased in the S2 group, but unchanged in the C2 group. The values of HbAic and the body mass index were also significantly decreased in the S2 group. These findings indicate that SMBG is useful in the management of diabetes mellitus.