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Mindfulness-based stress reduction is associated with improved glycemic control in type 2 diabetes mellitus: a pilot study. - PubMed - NCBI
Psychological distress is linked with impaired glycemic control among diabetics.

OBJECTIVE:
Estimate changes in glycemic control, weight, blood pressure, and stress-related psychological symptoms in patients with type 2 diabetes participating in a standard Mindfulness Based Stress Reduction (MBSR) program.

DESIGN:
Prospective, observational study.

SETTING:
Academic health center.

PATIENTS:
Adult patients with type 2 diabetes mellitus.

INTERVENTIONS:
Participation in MBSR program for heterogeneous patient population. Diet and exercise regimens held constant.

MAIN OUTCOME MEASURES:
Glycosylated hemoglobin A1c (HA1c), blood pressure, body weight, and Symptom Checklist 90-Revised (anxiety, depression, somatization, and general psychological distress scores).

RESULTS:
Eleven of 14 patients completed the intervention. At 1 month follow-up, HA1c was reduced by 0.48% (P = .03), and mean arterial pressure was reduced by 6 mmHg (P = .009). Body weight did not change. A decrease in measures of depression, anxiety, and general psychological distress was observed.
SMBG  diabetes  type  2  T2D  glycemic  control  glucose  management  blood  self  care  correlation  peer-reviewed  research  stress  distress  reduction  mindfulness  based 
2 days ago by Michael.Massing
Self-monitoring blood glucose improves glycemic control in type 2 diabetes without intensive treatment: A systematic review and meta-analysis. - PubMed - NCBI
SMBG was associated with a reduction of HbA1c at 12 weeks (-0.31%; 95% CI: -0.57 to -0.05) and 24 weeks (-0.34%; 95%CI: -0.52 to -0.17), but no difference was found for 1 year. Subgroup analysis including studies with baseline HbA1c greater than 8% showed a higher reduction of HbA1c: -0.83% (95% CI: -1.55 to -0.11) at 12 weeks, and -0.48% (95% CI: -0.77 to -0.19) at 24 weeks, with no difference for 1 year nor for the stratification for number the tests.
CONCLUSION:
SMBG seems to lead to a slightly better glycemic control in the short term in patients with T2D. Patients decompensated at baseline appear to have the greatest benefit.
SMBG  diabetes  type  2  T2D  glycemic  control  glucose  management  blood  self  monitoring  correlation  peer-reviewed  research  tight  frequency 
2 days ago by Michael.Massing
Meta-analysis of the benefits of self-monitoring of blood glucose on glycemic control in type 2 diabetes patients: an update. - PubMed - NCBI
SMBG was effective in reducing HbA(1c) in non-insulin-treated type 2 diabetes (pooled mean difference, -0.24%; 95% confidence interval, -0.34% to -0.14%; P < 0.00001). Glycemic control significantly improved among the subgroup of patients whose baseline HbA(1c) was >or=8%. In contrast, no significant effect of SMBG was detected in patients who had HbA(1c) <8%.
CONCLUSIONS:
The available evidence suggests the usefulness of SMBG in improving glycemic control in non-insulin-treated type 2 diabetes as demonstrated by the reduction of HbA(1c) levels. In particular, SMBG proved to be useful in the subgroup of patients whose baseline HbA(1c) was >or=8%.
SMBG  diabetes  type  2  T2D  glycemic  control  glucose  management  blood  self  monitoring  correlation  peer-reviewed  research  tight  frequency 
2 days ago by Michael.Massing
Using the Common Sense Model of Self-regulation to review the effects of self-monitoring of blood glucose on glycemic control for non-insulin-treat... - PubMed - NCBI
Results from the longitudinal studies and randomized control trials suggested that SMBG may improve glycemic control. The few studies investigating mediators or moderators reported mixed results. Few studies effectively measured the CSM.
CONCLUSION:
Data suggested that SMBG may help improve glycemic control. Future trials must be designed to test hypotheses and improve our understanding of when, how, and for whom SMBG can enhance glycemic control. Rigorously controlled repetitions of current 2-arm trials will yield little new knowledge of theoretical or practical value.
SMBG  diabetes  type  2  T2D  glycemic  control  glucose  management  blood  self  monitoring  correlation  peer-reviewed  research  tight  frequency 
2 days ago by Michael.Massing
Intensified blood glucose monitoring improves glycemic control in stable, insulin-treated veterans with type 2 diabetes: the Diabetes Outcomes in V... - PubMed - NCBI
A total of 201 subjects completed the monitoring period. The baseline HbA(1c) (8.10 +/- 1.67%) decreased during the monitoring period by 0.30 +/- 0.68% (P < 0.001) at 4 weeks and by 0.36 +/- 0.88% (P < 0.001) at 8 weeks. Although entry HbA(1c) and compliance independently predicted the week 8 HbA(1c) (r = 0.862, P < 0.001), standardized regression analysis found that compliance with the SMBG protocol influenced the week 8 HbA(1c) more than age, sex, BMI, exercise level, carbohydrate consumption, or treatment intensity at baseline. However, SMBG benefited only subjects whose testing compliance exceeded 75% or with an entry HbA(1c) >8.0%. Decreases in HbA(1c) (-0.31 +/- 1.17%, P = 0.001) persisted in the 159 subjects followed for 52 weeks.
CONCLUSIONS:
Intensified blood glucose monitoring improved glycemic control in a large cohort of stable, insulin-treated veterans with type 2 diabetes. SMBG provided a strong stimulus for improved self-care resulting in clinically important and sustained reductions in HbA(1c).
SMBG  diabetes  type  2  T2D  glycemic  control  glucose  management  blood  self  monitoring  correlation  peer-reviewed  research  insurance  tight  frequency 
2 days ago by Michael.Massing
Effects of health maintenance organization coverage of self-monitoring devices on diabetes self-care and glycemic control. - PubMed - NCBI
est strip consumption increased during the first 6 months after the policy by 17.9 strips per cohort member (75% relative increase by 6 months; 95% CI, 50% to 101%). Compared with noninitiators of SMBG, initiators (n = 593) showed sudden, significant improvements in regularity of medication use by 6 months after initiation (-19.5 days between dispensings among those with low refill regularity [95% CI, -27.7 to -11.3]; -9.7 days among those with moderate regularity [95% CI, -12.3 to -7.1]), and in glucose control (-0.63% mean HbA(1c) level [as percentage of total hemoglobin] among those with poor baseline glycemic control [HbA(1c) >10%; 95% CI, -1.14% to -0.12%]).
CONCLUSIONS:
Providing free glucose monitors improved rates of self-monitoring in this health maintenance organization population, possibly by offering an initial incentive for patients to engage in more desirable patterns of care. Initiating SMBG was associated with increased regularity of medication use and a reduction in high blood glucose levels.
SMBG  diabetes  type  2  T2D  glycemic  control  glucose  management  blood  self  monitoring  correlation  peer-reviewed  research  insurance  tight  frequency 
2 days ago by Michael.Massing
Lack of insurance coverage for testing supplies is associated with poorer glycemic control in patients with type 2 diabetes
Patients with insurance had significantly lower hemoglobin A1c concentrations than those without insurance coverage (7.1% v. 7.4%, p = 0.03). Patients with insurance were younger, had a higher income, were less likely to have a high school education and were less likely to be married or living with a partner. In multivariate analyses that controlled for these and other potential confounders, lack of insurance coverage for self-monitoring testing supplies was still significantly associated with higher hemoglobin A1c concentrations (adjusted difference 0.5%, p = 0.006).

Interpretation

Patients without insurance for self-monitoring test strips had poorer glycemic control.
SMBG  diabetes  type  2  T2D  glycemic  control  glucose  management  blood  self  monitoring  correlation  peer-reviewed  research  insurance  tight  frequency 
2 days ago by Michael.Massing
What is the Best Way to Control Blood Sugar Levels?
What is the Best Way to Control Blood Sugar Levels? Read on to discover how
this  plant  can  help  to  control  your  blood  sugar  level  naturally. 
18 days ago by luv2sex.info
The surprising story of the French Bread studio
A look back at the origins of French Bread studio, the originator of the MELTY BLOOD and Under Night In-Birth series.
videogames  fighting  game  french  bread  japan  doujin  meltyblood  melty  blood  under  night  in-birth 
4 weeks ago by cla

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