Use of a real time continuous glucose monitoring system as a motivational device for poorly controlled type 2 diabetes

H. J. Yoo; Hyonggin An; S. Y. Park; O. H. Ryu; H. Y. Kim; Ji A Seo; E. G. Hong; D. H. Shin; Y. H. Kim; Sin Gon Kim; Kyung Mook Choi; I. B. Park; J. M. Yu; Sei-Hyun Baik

doi:10.1016/j.diabres.2008.06.015

Use of a real time continuous glucose monitoring system as a motivational device for poorly controlled type 2 diabetes

H. J. Yoo, Hyonggin An, S. Y. Park, O. H. Ryu, H. Y. Kim, Ji A Seo, E. G. Hong, D. H. Shin, Y. H. Kim, Sin Gon Kim, Kyung Mook Choi, I. B. Park, J. M. Yu, Sei-Hyun Baik

Department of Biomedical Sciences

Research output: Contribution to journal › Article › peer-review

106 Citations (Scopus)

Abstract

Objective: The use of a real time continuous glucose monitoring system (RT-CGM) was studied as a behavior modification tool and the effectiveness of a RT-CGM in glucose control for patients with type 2 diabetes was determined. Methods: We conducted a prospective, open-label, randomized, controlled clinical trial in 65 patients with poorly controlled type 2 diabetes (8.0 ≤ HbA1c ≤ 10%) over a 3-month period. The intervention group was monitored monthly with a RT-CGM (three days at a time for 3 months) and the control group continued self-monitoring blood glucose (SMBG) at least four times a week for 3 months. Results: The HbA1c of the RT-CGM group was significantly reduced after 12 weeks compared with the SMBG group (9.1 ± 1.0% to 8.0 ± 1.2% vs. 8.7 ± 0.7% to 8.3 ± 1.1%, respectively; P = 0.004). In the RT-CGM group, there was a significant reduction in total daily calorie intake, weight, body mass index (BMI), and postprandial glucose level, and a significant increase in total exercise time per week after 3 months. Conclusions: We demonstrated that the RT-CGM was useful in modifying a patient's diet and exercise habits and could induce better glycemic control than SMBG for patients with type 2 diabetes.

Original language	English
Pages (from-to)	73-79
Number of pages	7
Journal	Diabetes Research and Clinical Practice
Volume	82
Issue number	1
DOIs	https://doi.org/10.1016/j.diabres.2008.06.015
Publication status	Published - 2008 Oct

Keywords

Lifestyle intervention
Real time continuous glucose monitoring system
Self-monitoring blood glucose

ASJC Scopus subject areas

Internal Medicine
Endocrinology, Diabetes and Metabolism
Endocrinology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.diabres.2008.06.015

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Yoo, H. J., An, H., Park, S. Y., Ryu, O. H., Kim, H. Y., Seo, J. A., Hong, E. G., Shin, D. H., Kim, Y. H., Kim, S. G., Choi, K. M., Park, I. B., Yu, J. M., & Baik, S-H. (2008). Use of a real time continuous glucose monitoring system as a motivational device for poorly controlled type 2 diabetes. Diabetes Research and Clinical Practice, 82(1), 73-79. https://doi.org/10.1016/j.diabres.2008.06.015

Use of a real time continuous glucose monitoring system as a motivational device for poorly controlled type 2 diabetes. / Yoo, H. J.; An, Hyonggin; Park, S. Y.; Ryu, O. H.; Kim, H. Y.; Seo, Ji A; Hong, E. G.; Shin, D. H.; Kim, Y. H.; Kim, Sin Gon; Choi, Kyung Mook; Park, I. B.; Yu, J. M.; Baik, Sei-Hyun.

In: Diabetes Research and Clinical Practice, Vol. 82, No. 1, 10.2008, p. 73-79.

Research output: Contribution to journal › Article › peer-review

Yoo, HJ, An, H, Park, SY, Ryu, OH, Kim, HY, Seo, JA, Hong, EG, Shin, DH, Kim, YH, Kim, SG, Choi, KM, Park, IB, Yu, JM & Baik, S-H 2008, 'Use of a real time continuous glucose monitoring system as a motivational device for poorly controlled type 2 diabetes', Diabetes Research and Clinical Practice, vol. 82, no. 1, pp. 73-79. https://doi.org/10.1016/j.diabres.2008.06.015

Yoo, H. J. ; An, Hyonggin ; Park, S. Y. ; Ryu, O. H. ; Kim, H. Y. ; Seo, Ji A ; Hong, E. G. ; Shin, D. H. ; Kim, Y. H. ; Kim, Sin Gon ; Choi, Kyung Mook ; Park, I. B. ; Yu, J. M. ; Baik, Sei-Hyun. / Use of a real time continuous glucose monitoring system as a motivational device for poorly controlled type 2 diabetes. In: Diabetes Research and Clinical Practice. 2008 ; Vol. 82, No. 1. pp. 73-79.

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title = "Use of a real time continuous glucose monitoring system as a motivational device for poorly controlled type 2 diabetes",

abstract = "Objective: The use of a real time continuous glucose monitoring system (RT-CGM) was studied as a behavior modification tool and the effectiveness of a RT-CGM in glucose control for patients with type 2 diabetes was determined. Methods: We conducted a prospective, open-label, randomized, controlled clinical trial in 65 patients with poorly controlled type 2 diabetes (8.0 ≤ HbA1c ≤ 10%) over a 3-month period. The intervention group was monitored monthly with a RT-CGM (three days at a time for 3 months) and the control group continued self-monitoring blood glucose (SMBG) at least four times a week for 3 months. Results: The HbA1c of the RT-CGM group was significantly reduced after 12 weeks compared with the SMBG group (9.1 ± 1.0% to 8.0 ± 1.2% vs. 8.7 ± 0.7% to 8.3 ± 1.1%, respectively; P = 0.004). In the RT-CGM group, there was a significant reduction in total daily calorie intake, weight, body mass index (BMI), and postprandial glucose level, and a significant increase in total exercise time per week after 3 months. Conclusions: We demonstrated that the RT-CGM was useful in modifying a patient's diet and exercise habits and could induce better glycemic control than SMBG for patients with type 2 diabetes.",

keywords = "Lifestyle intervention, Real time continuous glucose monitoring system, Self-monitoring blood glucose",

author = "Yoo, {H. J.} and Hyonggin An and Park, {S. Y.} and Ryu, {O. H.} and Kim, {H. Y.} and Seo, {Ji A} and Hong, {E. G.} and Shin, {D. H.} and Kim, {Y. H.} and Kim, {Sin Gon} and Choi, {Kyung Mook} and Park, {I. B.} and Yu, {J. M.} and Sei-Hyun Baik",

note = "Funding Information: This study was supported by a grant from the Korean Health 21 R&D Project, Ministry of Health & Welfare, Republic of Korea (A050463). We would like to thank Medtronic Korea Co., Ltd for the assistance with this study. ",

year = "2008",

month = oct,

doi = "10.1016/j.diabres.2008.06.015",

language = "English",

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pages = "73--79",

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T1 - Use of a real time continuous glucose monitoring system as a motivational device for poorly controlled type 2 diabetes

AU - Yoo, H. J.

AU - An, Hyonggin

AU - Park, S. Y.

AU - Ryu, O. H.

AU - Kim, H. Y.

AU - Seo, Ji A

AU - Hong, E. G.

AU - Shin, D. H.

AU - Kim, Y. H.

AU - Kim, Sin Gon

AU - Choi, Kyung Mook

AU - Park, I. B.

AU - Yu, J. M.

AU - Baik, Sei-Hyun

N1 - Funding Information: This study was supported by a grant from the Korean Health 21 R&D Project, Ministry of Health & Welfare, Republic of Korea (A050463). We would like to thank Medtronic Korea Co., Ltd for the assistance with this study.

PY - 2008/10

Y1 - 2008/10

N2 - Objective: The use of a real time continuous glucose monitoring system (RT-CGM) was studied as a behavior modification tool and the effectiveness of a RT-CGM in glucose control for patients with type 2 diabetes was determined. Methods: We conducted a prospective, open-label, randomized, controlled clinical trial in 65 patients with poorly controlled type 2 diabetes (8.0 ≤ HbA1c ≤ 10%) over a 3-month period. The intervention group was monitored monthly with a RT-CGM (three days at a time for 3 months) and the control group continued self-monitoring blood glucose (SMBG) at least four times a week for 3 months. Results: The HbA1c of the RT-CGM group was significantly reduced after 12 weeks compared with the SMBG group (9.1 ± 1.0% to 8.0 ± 1.2% vs. 8.7 ± 0.7% to 8.3 ± 1.1%, respectively; P = 0.004). In the RT-CGM group, there was a significant reduction in total daily calorie intake, weight, body mass index (BMI), and postprandial glucose level, and a significant increase in total exercise time per week after 3 months. Conclusions: We demonstrated that the RT-CGM was useful in modifying a patient's diet and exercise habits and could induce better glycemic control than SMBG for patients with type 2 diabetes.

AB - Objective: The use of a real time continuous glucose monitoring system (RT-CGM) was studied as a behavior modification tool and the effectiveness of a RT-CGM in glucose control for patients with type 2 diabetes was determined. Methods: We conducted a prospective, open-label, randomized, controlled clinical trial in 65 patients with poorly controlled type 2 diabetes (8.0 ≤ HbA1c ≤ 10%) over a 3-month period. The intervention group was monitored monthly with a RT-CGM (three days at a time for 3 months) and the control group continued self-monitoring blood glucose (SMBG) at least four times a week for 3 months. Results: The HbA1c of the RT-CGM group was significantly reduced after 12 weeks compared with the SMBG group (9.1 ± 1.0% to 8.0 ± 1.2% vs. 8.7 ± 0.7% to 8.3 ± 1.1%, respectively; P = 0.004). In the RT-CGM group, there was a significant reduction in total daily calorie intake, weight, body mass index (BMI), and postprandial glucose level, and a significant increase in total exercise time per week after 3 months. Conclusions: We demonstrated that the RT-CGM was useful in modifying a patient's diet and exercise habits and could induce better glycemic control than SMBG for patients with type 2 diabetes.

KW - Lifestyle intervention

KW - Real time continuous glucose monitoring system

KW - Self-monitoring blood glucose

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SN - 0168-8227

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ER -

Use of a real time continuous glucose monitoring system as a motivational device for poorly controlled type 2 diabetes

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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