The Resource Self-monitoring of blood glucose in patients with type 2 diabetes mellitus : meta analysis of effectiveness, investigators, Paul Shekelle ... [et al.], (electronic book)

Self-monitoring of blood glucose in patients with type 2 diabetes mellitus : meta analysis of effectiveness, investigators, Paul Shekelle ... [et al.], (electronic book)

Label
Self-monitoring of blood glucose in patients with type 2 diabetes mellitus : meta analysis of effectiveness
Title
Self-monitoring of blood glucose in patients with type 2 diabetes mellitus
Title remainder
meta analysis of effectiveness
Statement of responsibility
investigators, Paul Shekelle ... [et al.]
Contributor
Subject
Language
  • eng
  • eng
Summary
BACKGROUND: Diabetes is a prevalent and costly disease in Veterans. Control of blood glucose is an important VA objective. Self-monitoring of blood glucose (SMBG) is advocated as a method to better achieve control. The Key Questions were: Key Question 1. Is regular SMBG effective in achieving target A1c levels for patients with type 2 diabetes? Key Question 2. Is regular SMBG effective in maintaining target A1c levels for patients with type 2 diabetes? Key Question 3. Does regular SMBG reduce the frequency of hypoglycemia in patients with type 2 diabetes? Key Question 4. Is there evidence that different frequencies of testing result in differences in improvements in A1c? METHODS: We searched PubMed from 2004-2006 using standard search terms. We performed an update search in July 2007. Titles, abstracts, and articles were reviewed in duplicate by physicians trained in the critical analysis of literature. Data were extracted by quantitative analysts. Pooled analyses were performed for trials with A1c outcomes at six months and 12 months or greater of follow-up. All other data were narratively summarized. RESULTS: We screened 52 titles, 14 were rejected, and we performed a more detailed review on 38 articles. From this, we identified 14 randomized controlled trials (RCTs) that measured the effect of SMBG compared to a group not receiving SMBG and monitored A1c levels with at least three months of follow-up. Four trials were excluded; one because it presented duplicate data and three because they evaluated SMBG in both the control and intervention groups, leaving 10 trials contributing to the efficacy analysis. We identified five observational studies assessing effectiveness in diabetic Veterans.
Member of
Cataloging source
DNLM
http://bibfra.me/vocab/relation/checktag
bWsWsauV6K8
Government publication
federal national government publication
Illustrations
illustrations
Index
no index present
Literary form
non fiction
Nature of contents
  • dictionaries
  • surveys of literature
  • technical reports
http://library.link/vocab/relatedWorkOrContributorName
  • Shekelle, Paul G
  • Munjas, Brett
  • Romanova, Maria
  • Towfigh, Ali
  • Weinreb, Jane
  • Zhou, Annie
  • Suttorp, Marika
  • United States
  • United States
  • Greater Los Angeles Veterans Affairs Healthcare System (U.S.)
  • Southern California Evidence-Based Practice Center/RAND.
Series statement
Evidence-based synthesis program
http://library.link/vocab/subjectName
  • Blood Glucose Self-Monitoring
  • Diabetes Mellitus, Type 2
  • Outcome Assessment (Health Care)
  • Blood Glucose
  • Hemoglobin A, Glycosylated
  • Hypoglycemia
  • Meta-Analysis as Topic
  • Randomized Controlled Trials as Topic
  • Reference Values
  • Self Care
  • Veterans
  • Humans
  • United States
Label
Self-monitoring of blood glucose in patients with type 2 diabetes mellitus : meta analysis of effectiveness, investigators, Paul Shekelle ... [et al.], (electronic book)
Instantiates
Publication
Note
"Prepared for: Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service, Washington, DC 20420. Prepared by: Greater Los Angeles Veterans Affairs Healthcare System/Southern California/RAND Evidence-based Practice Center, Los Angeles, CA."
Bibliography note
Includes bibliographical references
Color
black and white
Control code
1542103
Dimensions
unknown
Form of item
online
Specific material designation
remote
Label
Self-monitoring of blood glucose in patients with type 2 diabetes mellitus : meta analysis of effectiveness, investigators, Paul Shekelle ... [et al.], (electronic book)
Publication
Note
"Prepared for: Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service, Washington, DC 20420. Prepared by: Greater Los Angeles Veterans Affairs Healthcare System/Southern California/RAND Evidence-based Practice Center, Los Angeles, CA."
Bibliography note
Includes bibliographical references
Color
black and white
Control code
1542103
Dimensions
unknown
Form of item
online
Specific material designation
remote

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