Impact of Self-Monitoring of Blood Glucose on the Lifestyles of Subjects with Fasting Hyperglycemia : A Randomized Controlled Trial
自己血糖測定が空腹時高血糖症例の生活習慣に与える影響 : 無作為対照研究の結果

Yasumitsu TAKATA, Ongyoku OU, Hiroshi NISHIDA, Kiyonobu SAKAGAMI
Impact of Self-Monitoring of Blood Glucose on the Lifestyles of Subjects with Fasting Hyperglycemia: A Randomized Controlled Trial: Yasumitsu TAKATA, et al. Health service station, effect of self-monitoring of blood glucose on its level and the lifestyle of male workers with fasting hyperglycemia was studied. Male workers with fasting plasma glucose levels between 6.1 and 7.7 mmol/l were selected for subjects from those who had been followed up as a high-risk group for diabetes mellitus and
more » ... es mellitus and volunteered for the trial. A total of 247 subjects were then randomized into control and intervention groups. In the intervention group, the participants were encouraged to monitor fasting blood glucose, check their body weight, and take a daily pedometer reading once a week regularly for 5 months. Fasting plasma glucose and HbA1c were examined at the beginning and the end of the trial. There was no significant change in the fasting plasma glucose level, but there was a statistically significant increase in the HbA1c level (0.1 and 0.2%; p=0.0076) and a decrease in BMI (0.6 and 0.2 kg/m 2 ; p=0.0001) for the intervention and control group, respectively. The effect of intervention on the number of subjects who improved their HbA1c levels (Relative Risk: 6.08 and 95% Confidence Interval: 2.13-17.34) was found to be significant. The subjects in both groups reported a decrease in total energy intake and those in the intervention group achieved an increase in physical activity. Selfmonitoring of blood glucose, together with measuring of body weight and walking-steps, helped the subjects make changes in lifestyle toward achieving a reduction in their weight. Accordingly, this method is promising for preventing persons with fasting hyperglycemia from developing diabetes mellitus. (J Occup Health 2002; 44: 28-33)
doi:10.1539/sangyoeisei.kj00002552663 fatcat:5ugql3yh7japzmrfxreqi4vf6i