Unique ID issued by UMIN | UMIN000048202 |
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Receipt number | R000054680 |
Scientific Title | Examination of SMBG patient education guidance based on Time in Range |
Date of disclosure of the study information | 2022/07/01 |
Last modified on | 2022/06/30 12:49:49 |
Examination of SMBG patient education guidance based on Time in Range
Examination of SMBG patient education guidance based on Time in Range
Examination of SMBG patient education guidance based on Time in Range
Examination of SMBG patient education guidance based on Time in Range
Japan |
Type 2 Diabetes
Endocrinology and Metabolism |
Others
NO
Conventionally, HbA1c is generally used as an index for blood glucose control. However, it is known that cases in which fasting hypoglycemia is frequent or cases in which postprandial hyperglycemia is observed even in the normal fasting blood glucose range are likely to cause macrovascular disorders despite the fact that the HbA1c level is a good control. 1) 2) In other words, in order to prevent complications of diabetes, evaluation with HbA1c is insufficient, and it is necessary to grasp blood glucose levels before and after meals. As a new glycemic control index, blood glucose 70-180 mg / dL is defined as the therapeutic range, and the number of measurements or time in this range is defined as Time in Range (TIR). In this study, we aim to examine whether the goal of measurement by autoglycemia measurement (SMBG) is 7 points per day (90 minutes before meals, 90 minutes after meals, and before sleep: see DCCT study) and whether the progression of complications is prevented and whether the behavior change and treatment motivation of control patients have improved by using a measurement sheet (SMBG coach) aiming at the range of TIR for patient guidance.
Efficacy
1.Patient Satisfaction Survey
2.HbA1c Levels at Week 16 After Initiation of SMBG Coach Coaching Intervention
1.Correlation between SMBG's TIR and HbA1c
2.Changes in body weight (BMI), changes in muscle mass and fat mass due to inbody measurement,
Blood pressure, biochemical examination
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
NO
NO
Institution is not considered as adjustment factor.
NO
No need to know
2
Educational,Counseling,Training
Behavior,custom |
Self Monitoring of blood glucose.Blood glucose measurement 7 times a day.
Medical treatment guidance.At the time of research entry, at week 8 and week 16,Conduct questionnaire surveys and diet and exercise therapy, etc.
20 | years-old | <= |
Not applicable |
Male and Female
1. Patients who, after receiving a sufficient explanation, obtained written consent of their own free will after receiving sufficient explanations for participation in this study.
2. Patients who are 20 years of age or older at the time of obtaining consent
3. Type 2 diabetic patients who introduce SMBG through insulin treatment
4. Patients with SMBG measurement
5. Patients with exercise therapy
6. Patients with an HbA1c value of 7.0% or more but less than 10%
1. Patients with an HbA1c value of less than 7.0% or more than 10%
2. Patients with neuropsychiatric disorders such as depression or alcoholism that appear to affect the evaluation of the trial
3. Patients with a malignant neoplasm
4. Patients with nephropathy stage 4 or more
5. Patients with restricted movement
6,Patients undergoing steroid therapy, anticancer drugs, interferon, or other treatments that affect blood sugar levels
7.Patients whose lead investigator or co-investigator determines that participation in the study is inappropriate from the viewpoint of the content of the study and safety.
60
1st name | Atsushi |
Middle name | |
Last name | Suzuki |
Fujita Health University School of Medicine
Department of Endocrinology,Diabetes and Metabolism
470-1192
1-98,Dengakugakubo,Kutsukake,Toyoake,Aichi
0562-93-9242
aslapin@fujita-hu.ac.jp
1st name | Yusuke |
Middle name | |
Last name | Seino |
Fujita Health University School of Medicine
Department of Endocrinology,Diabetes and Metabolism
470-1192
1-98,Dengakugakubo,Kutsukake,Toyoake,Aichi
0562-93-9242
seinoy@fujita-hu.ac.jp
Fujita Health University School of Medicine
Department of Endocrinology,Diabetes and Metabolism
Fujita Health University School of Medicine
Department of Endocrinology,Diabetes and Metabolism
Other
Fujita Health University School of Medicine Department of Endocrinology,Diabetes and Metabolism
1-98,Dengakugakubo,Kutsukake,Toyoake,Aichi
0562-93-9242
chopin12@fujita-hu.ac.jp
NO
2022 | Year | 07 | Month | 01 | Day |
Unpublished
Preinitiation
2022 | Year | 05 | Month | 09 | Day |
2022 | Year | 07 | Month | 01 | Day |
2024 | Year | 12 | Month | 31 | Day |
2022 | Year | 06 | Month | 30 | Day |
2022 | Year | 06 | Month | 30 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000054680
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