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- Title
Blood glucose awareness training (BGAT-2): long-term benefits.
- Authors
Cox, Daniel J.; Gonder-Frederick, Linda; Kovatchev, Boris; Clarke, William; Polonsky, William; Schlundt, David; Cox, D J; Gonder-Frederick, L; Polonsky, W; Schlundt, D; Kovatchev, B; Clarke, W
- Abstract
<bold>Objective: </bold>Blood glucose awareness training (BGAT) has been shown to improve awareness of blood glucose (BG) fluctuations among adults with type 1 diabetes. This study investigates the long-term (12-month) benefits of BGAT-2.<bold>Research Design and Methods: </bold>A total of 73 adults with type 1 diabetes participated in a 6-month repeated baseline design with a 12-month follow-up. At 6 months and 1 month before BGAT-2 and at 1,6, and 12 months after BGAT-2, subjects used a handheld computer for 50 trials and completed psychological tests. Throughout assessment, subjects completed diaries, recording occurrences of diabetic ketoacidosis, severe hypoglycemia, and motor vehicle violations During follow-up, 50% of the subjects received booster training.<bold>Results: </bold>During the first and last halves of both the baseline period and the follow-up period, dependent variables were generally stable. However, from baseline to follow-up, BGAT-2 led to 1) improved detection of hypoglycemia and hyperglycemia; 2) improved judgment regarding when to lower high BG, raise low BG, and not drive while hypoglycemic; 3) reduction in occurrence of diabetic ketoacidosis, severe hypoglycemia, and motor vehicle violations; and 4) improvement in terms of worry about hypoglycemia, quality of life, and diabetes knowledge. Reduction in severe hypoglycemia was not associated with a worsening of metabolic control (HbA1). The presence or absence of booster training did not differentially affect these benefits.<bold>Conclusion: </bold>BGAT has sustained broad-ranging benefits, independent of booster intervention.
- Subjects
BLOOD sugar monitoring; PEOPLE with diabetes; CARING
- Publication
Diabetes Care, 2001, Vol 24, Issue 4, p637
- ISSN
0149-5992
- Publication type
journal article
- DOI
10.2337/diacare.24.4.637