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Title: Self-monitoring of blood glucose versus self-monitoring of urine glucose in adults with newly diagnosed Type 2 diabetes receiving structured education: a cluster randomized controlled trial.
Authors: Dallosso, Helen M.
Bodicoat, D. H.
Campbell, M.
Carey, M. E.
Davies, M. J.
Eborall, H. C.
Hadjiconstantinou, M.
Khunti, K.
Speight, J.
Heller, S.
First Published: 5-Nov-2014
Publisher: Wiley for Diabetes UK
Citation: Diabetic Medicine, 2015, 32 (3), pp. 414-422
Abstract: Aims To compare the effectiveness and acceptability of self-monitoring of blood glucose with self-monitoring of urine glucose in adults with newly diagnosed Type 2 diabetes. Methods We conducted a multi-site cluster randomized controlled trial with practice-level randomization. Participants attended a structured group education programme, which included a module on self-monitoring using blood glucose or urine glucose monitoring. HbA1c and other biomedical measures as well as psychosocial data were collected at 6, 12 and 18 months. A total of 292 participants with Type 2 diabetes were recruited from 75 practices. Results HbA1c levels were significantly lower at 18 months than at baseline in both the blood monitoring group [mean (se) −12 (2) mmol/mol; −1.1 (0.2) %] and the urine monitoring group [mean (se) −13 (2) mmol/mol; −1.2 (0.2)%], with no difference between groups [mean difference adjusted for cluster effect and baseline value = −1 mmol/mol (95% CI −3, 2); −0.1% (95% CI −0.3, 0.2)]. Similar improvements were observed for the other biomedical outcomes, with no differences between groups. Both groups showed improvements in total treatment satisfaction, generic well-being, and diabetes-specific well-being, and had a less threatening view of diabetes, with no differences between groups at 18 months. Approximately one in five participants in the urine monitoring arm switched to blood monitoring, while those in the blood monitoring arm rarely switched (18 vs 1% at 18 months; P < 0.001). Conclusions Participants with newly diagnosed Type 2 diabetes who attended structured education showed similar improvements in HbA1c levels at 18 months, regardless of whether they were assigned to blood or urine self-monitoring.
DOI Link: 10.1111/dme.12598
ISSN: 0742-3071
eISSN: 1464-5491
Version: Post-print
Status: Peer-reviewed
Type: Journal Article
Rights: Archived with reference to SHERPA/RoMEO and publisher website. This is the peer reviewed version of the following article: Diabetic Medicine, 2015, 32 (3), pp. 414-422, which has been published in final form at This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
Description: Clinical Trials Registry no.: ISRCTN 95696668
Appears in Collections:Published Articles, Dept. of Cardiovascular Sciences

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