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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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While Self-monitoring of blood glucose (SMBG) has been recommended in some diabetes mellitus (DM) patients population according to the 2010 American Diabetes Association (ADA), 2007 Korean Diabetes Association (KDA), 2005International Diabetes Federation guideline, it is excluded from a routine insurance coverage for outpatients in Korea.
The objective of this study is to meta-analyze the impact of SMBG on HbA1c in non insulin-treated diabetes mellitus (NIT) DM patients. Published clinical literatures were identified through electronic database searches from inception and until May 2010. Studies were selected if they met the following inclusion criteria: 1) randomized controlled trials (RCTs), 2) comparing SMBG with non-SMBG in NIT type 2 diabetes, 3) measuring HbA1c as an outcome. Literature qualities were assessed by the Scottish Intercollegiate Guidelines Network Checklist. The mean difference of HbA1c between the 2 groups was pooled from non-heterogeneous 6 RCTs by meta-analysis using Review Manger (RevMan)Version 5.0 program. Pooled results demonstrated that SMBG is associated with a statistically significant improvement in glycemic control (mean HbA1c difference -0.23, 95%CI -0.32, -0.13). Sensitivity analysis showed that glycemic controls were significantly improved in patients with shorter study duration, more frequent self-monitoring, higher baseline HbA1c value, and without prior SMBG experiences. Conclusively SMBG is effective in improving glycemic control in NIT DM patients, but additional evidences from further researches in Korean patients and cost-effectiveness analysis would be necessary to make a suggestion for coverage expansion
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참고문헌 (26)
참고문헌 신청
/ / Scottish Intercollegiate Guidelines Network (SIGN) 50: A guideline developer's handbook Annex C: Critical appraisal -Notes and checklists Methodology Checklist 2: Randomised Con
Adler AI / 2002 / UKPDS 59: hyperglycemia and other potentially modifiable risk factors for peripheral vascular disease in type 2 diabetes / Diabetes Care 25 (5) : 894 ~ 899
Allemann S / 2009 / Self-monitoring of blood glucose in non-insulin treated patients with type 2 diabetes: a systematic review and meta-analysis / Curr Med Res Opin 25 (12)
American Diabetes Association (ADA) / 2010 / Standards of medical care in diabetes / V. Diabetes Care 33 (Suppl 1) : S16 ~ S29
Barnett AH / 2008 / The efficacy of self-monitoring of blood glucose in the management of patients with type 2 diabetes treated with a gliclazide modified release-based regi
Adler AI / 2002 / UKPDS 59: hyperglycemia and other potentially modifiable risk factors for peripheral vascular disease in type 2 diabetes / Diabetes Care 25 (5) : 894 ~ 899
Allemann S / 2009 / Self-monitoring of blood glucose in non-insulin treated patients with type 2 diabetes: a systematic review and meta-analysis / Curr Med Res Opin 25 (12)
American Diabetes Association (ADA) / 2010 / Standards of medical care in diabetes / V. Diabetes Care 33 (Suppl 1) : S16 ~ S29
Barnett AH / 2008 / The efficacy of self-monitoring of blood glucose in the management of patients with type 2 diabetes treated with a gliclazide modified release-based regi
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