Effects of Flash Glucose Monitoring on Dietary Variety, Physical Activity, and Self-Care Behaviors in Patients with Diabetes

The aim of this study was to evaluate the effects of flash glucose monitoring on dietary variety, physical activity, and self-care behavior in patients with diabetes. This study included outpatients with diabetes using insulin who presented at the Department of Diabetes and Metabolism of the Ise Red...

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Main Authors: Satoshi Ida, Ryutaro Kaneko, Kanako Imataka, Kaoru Okubo, Yoshitaka Shirakura, Kentaro Azuma, Ryoko Hujiwara, Hiroka Takahashi, Kazuya Murata
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2020/9463648
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author Satoshi Ida
Ryutaro Kaneko
Kanako Imataka
Kaoru Okubo
Yoshitaka Shirakura
Kentaro Azuma
Ryoko Hujiwara
Hiroka Takahashi
Kazuya Murata
author_facet Satoshi Ida
Ryutaro Kaneko
Kanako Imataka
Kaoru Okubo
Yoshitaka Shirakura
Kentaro Azuma
Ryoko Hujiwara
Hiroka Takahashi
Kazuya Murata
author_sort Satoshi Ida
collection DOAJ
description The aim of this study was to evaluate the effects of flash glucose monitoring on dietary variety, physical activity, and self-care behavior in patients with diabetes. This study included outpatients with diabetes using insulin who presented at the Department of Diabetes and Metabolism of the Ise Red Cross Hospital. Before initiating flash glucose monitoring and 12 weeks after its initiation, blood glucose-related parameters were assessed and self-administered questionnaires were completed (Dietary Variety Score (DVS), the International Physical Activity Questionnaire (IPAQ), the Summary of Diabetes Self-Care Activities Measure (SDSCA), and the Diabetes Treatment Satisfaction Questionnaire (DTSQ)) and compared between the two time points. We analyzed 42 patients with type 1 diabetes mellitus and 48 patients with type 2 diabetes mellitus. In patients with type 2 diabetes mellitus, but not type 1 diabetes mellitus, there was an increase in moderate/high category scores for IPAQ (P<0.001) and for treatment satisfaction reported via DTSQ. Furthermore, in patients with type 2 diabetes mellitus, the glycemic excursion index improved significantly and HbA1c decreased significantly (from 7.7 (1.2) to 7.4 (0.8), P=0.025). Results showed that standard deviation and mean amplitude of glycemic excursions significantly decreased in patients with type 1 diabetes mellitus (from 71.2 (20.4) to 66.2 (17.5), P=0.033 and from 124.6 (31.9) to 108.1 (28.4), P<0.001, respectively). Flash glucose monitoring is a useful tool to improve physical activity in patients with type 2 diabetes.
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series Journal of Diabetes Research
spelling doaj-art-de658cf9350441838e9921f7231f61952025-02-03T06:46:36ZengWileyJournal of Diabetes Research2314-67452314-67532020-01-01202010.1155/2020/94636489463648Effects of Flash Glucose Monitoring on Dietary Variety, Physical Activity, and Self-Care Behaviors in Patients with DiabetesSatoshi Ida0Ryutaro Kaneko1Kanako Imataka2Kaoru Okubo3Yoshitaka Shirakura4Kentaro Azuma5Ryoko Hujiwara6Hiroka Takahashi7Kazuya Murata8Department of Diabetes and Metabolism, Ise Red Cross Hospital, Ise-shi, Mie 516-8512, JapanDepartment of Diabetes and Metabolism, Ise Red Cross Hospital, Ise-shi, Mie 516-8512, JapanDepartment of Diabetes and Metabolism, Ise Red Cross Hospital, Ise-shi, Mie 516-8512, JapanDepartment of Diabetes and Metabolism, Ise Red Cross Hospital, Ise-shi, Mie 516-8512, JapanDepartment of Diabetes and Metabolism, Ise Red Cross Hospital, Ise-shi, Mie 516-8512, JapanDepartment of Diabetes and Metabolism, Ise Red Cross Hospital, Ise-shi, Mie 516-8512, JapanDepartment of Diabetes and Metabolism, Ise Red Cross Hospital, Ise-shi, Mie 516-8512, JapanDepartment of Diabetes and Metabolism, Ise Red Cross Hospital, Ise-shi, Mie 516-8512, JapanDepartment of Diabetes and Metabolism, Ise Red Cross Hospital, Ise-shi, Mie 516-8512, JapanThe aim of this study was to evaluate the effects of flash glucose monitoring on dietary variety, physical activity, and self-care behavior in patients with diabetes. This study included outpatients with diabetes using insulin who presented at the Department of Diabetes and Metabolism of the Ise Red Cross Hospital. Before initiating flash glucose monitoring and 12 weeks after its initiation, blood glucose-related parameters were assessed and self-administered questionnaires were completed (Dietary Variety Score (DVS), the International Physical Activity Questionnaire (IPAQ), the Summary of Diabetes Self-Care Activities Measure (SDSCA), and the Diabetes Treatment Satisfaction Questionnaire (DTSQ)) and compared between the two time points. We analyzed 42 patients with type 1 diabetes mellitus and 48 patients with type 2 diabetes mellitus. In patients with type 2 diabetes mellitus, but not type 1 diabetes mellitus, there was an increase in moderate/high category scores for IPAQ (P<0.001) and for treatment satisfaction reported via DTSQ. Furthermore, in patients with type 2 diabetes mellitus, the glycemic excursion index improved significantly and HbA1c decreased significantly (from 7.7 (1.2) to 7.4 (0.8), P=0.025). Results showed that standard deviation and mean amplitude of glycemic excursions significantly decreased in patients with type 1 diabetes mellitus (from 71.2 (20.4) to 66.2 (17.5), P=0.033 and from 124.6 (31.9) to 108.1 (28.4), P<0.001, respectively). Flash glucose monitoring is a useful tool to improve physical activity in patients with type 2 diabetes.http://dx.doi.org/10.1155/2020/9463648
spellingShingle Satoshi Ida
Ryutaro Kaneko
Kanako Imataka
Kaoru Okubo
Yoshitaka Shirakura
Kentaro Azuma
Ryoko Hujiwara
Hiroka Takahashi
Kazuya Murata
Effects of Flash Glucose Monitoring on Dietary Variety, Physical Activity, and Self-Care Behaviors in Patients with Diabetes
Journal of Diabetes Research
title Effects of Flash Glucose Monitoring on Dietary Variety, Physical Activity, and Self-Care Behaviors in Patients with Diabetes
title_full Effects of Flash Glucose Monitoring on Dietary Variety, Physical Activity, and Self-Care Behaviors in Patients with Diabetes
title_fullStr Effects of Flash Glucose Monitoring on Dietary Variety, Physical Activity, and Self-Care Behaviors in Patients with Diabetes
title_full_unstemmed Effects of Flash Glucose Monitoring on Dietary Variety, Physical Activity, and Self-Care Behaviors in Patients with Diabetes
title_short Effects of Flash Glucose Monitoring on Dietary Variety, Physical Activity, and Self-Care Behaviors in Patients with Diabetes
title_sort effects of flash glucose monitoring on dietary variety physical activity and self care behaviors in patients with diabetes
url http://dx.doi.org/10.1155/2020/9463648
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