Document Detail


Blood Glucose Awareness Training in Dutch Type 1 diabetes patients. Short-term evaluation of individual and group training.
MedLine Citation:
PMID:  11874433     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: The aims of the present study were: (i) to evaluate the effects of a Dutch translation and adaptation of Blood Glucose Awareness Training (BGAT-III) on blood glucose (bg) perception, glycaemic control, and decisions not to drive or to raise the bg during hypoglycaemia; (ii) to compare the effects of individual and group BGAT. METHODS: Fifty-nine patients with Type 1 diabetes participated in BGAT in either a group or an individual setting. Before and after BGAT, 39 (66%) of them completed 30-70 measurements on a hand-held computer (hhc). During every measurement, they estimated their bg, indicated whether they would drive or raise their bg on the basis of their estimation, and then measured their bg. RESULTS: Individual and group BGAT did not have significantly different effects (P = 0.35-0.98). Overall, BGAT did not significantly affect bg perception (P = 0.11-0.65). Before BGAT patients recognized a mean of 32% of their hypoglycaemic episodes, after BGAT a mean of 39% (P = 0.12). After BGAT, patients more often decided not to drive when their bg was low (P = 0.03). They tended to decide more often to raise their bg during hypoglycaemia (P = 0.09). CONCLUSIONS: The effects of BGAT were smaller than expected. Possible reasons for this negative outcome may be the adapted version of BGAT (shorter in duration), a lack of statistical power, or a difference between American and European samples in their reaction to BGAT.
Authors:
S Broers; S le Cessie; K P van Vliet; Ph Spinhoven; N C W van der Ven; J K Radder
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Diabetic medicine : a journal of the British Diabetic Association     Volume:  19     ISSN:  0742-3071     ISO Abbreviation:  Diabet. Med.     Publication Date:  2002 Feb 
Date Detail:
Created Date:  2002-03-04     Completed Date:  2002-05-10     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8500858     Medline TA:  Diabet Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  157-61     Citation Subset:  IM    
Affiliation:
Section of Medical Psychology, Leiden University Medical Centre, Leiden, The Netherlands. s.broers@amc.uva.nl
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MeSH Terms
Descriptor/Qualifier:
Adult
Automobile Driving
Awareness / physiology*
Blood Glucose / analysis*
Decision Making
Diabetes Mellitus, Type 1 / blood*,  therapy*
Educational Measurement
Hemoglobin A, Glycosylated / analysis
Humans
Hyperglycemia / diagnosis*
Hypoglycemia / diagnosis*
Netherlands
Patient Education as Topic*
Perception
Reproducibility of Results
Self Care
Chemical
Reg. No./Substance:
0/Blood Glucose; 0/Hemoglobin A, Glycosylated

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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