A Prospective Study to Evaluate the Benefits of Long-Term Self-Monitoring of Blood Glucose in Diabetic Children

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Abstract
The benefits of self-monitoring of blood glucose (SMBG) in diabetic children have beenassessed in an 18-mo prospective study by comparison of two groups, one receiving intensive education (N = 20) and the other, education combined with SMBG(N = 19). Regular home visits were made with all children during which attempts were made to optimize diabetes control. Mean blood glucose levels in the SMBG group showed a downward trend throughout the study; however, values at baseline (11.7mmol/L) were not significantly different from those at completion of the study (10.8 mmol/L). Hemoglobin Alc levels showed a seasonal fluctuation, but values at thebeginning and end of the study were nearly identical to each other in both groups. The SMBG group showed a reduction in the number of hospital admissions for stabilization of control and for ketoacidosis (P < 0.04).

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