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Published on: August 12, 2016
The Impact of Self-Regulation Education Combined with Continuous Glucose Monitoring (CGM) on Diabetes Outcomes: A
Hsiao-Yun Chang1,2, Kuei-Chun Yeh3, Yu-Yao Huang2,4
1Department of Nursing, Chang Gung University of Science and Technology, Taoyuan 33303, Taiwan.
Abstract:
In previous studies exploring continuous glucose monitoring (CGM), there has been a limited focus on how CGM influences key behavioral outcomes such as self-efficacy, health behaviors, and medication adherence. Background/Objectives: The aim of this study was to assess the impact of combining self-regulation health education with CGM on medication adherence, diabetes self-efficacy, diabetes health behaviors, and glucose control in individuals with diabetes. Methods: A randomized controlled study, reported following the CONSORT 2010 reporting guidelines. Individuals with diabetes volunteered to participate and were randomly allocated into two groups: the CGM group (n = 34) and the control group (n = 34). The CGM group received real-time CGM devices and education on self-regulation theory to enable them to self-adjust health promotion strategies and behaviors, while the control group received routine diabetes health education focusing on self-monitoring of blood glucose. Outcome measures included medication adherence, diabetes self-efficacy, diabetes health behaviors, and glucose control. Results: The CGM group demonstrated consistent diabetes self-efficacy, significant improvements in diabetes health behaviors, and a reduction in HbA1c levels over time. However, no significant differences in outcomes were observed between the CGM group and the control group. Conclusions: The use of continuous glucose monitoring (CGM) provides continuous, real-time glucose data. When combined with self-regulation education, it may help provide personalized insights into how specific foods, activities, medications, and stress levels affect blood glucose levels. This allows individuals with diabetes to make personalized adjustments to their lifestyle and treatment plans to optimize their blood sugar control.
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