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Exploratory study on glycemic control improvement for patients with diabetes mellitus by appropriate re-education on insulin self-injection technique during COVID-19 pandemic

AIMS: To conduct a study on glycemic control improvement by appropriate re-education on the self-injection technique (SIT) in patients with diabetes mellitus undergoing insulin therapy. METHODS: Patients who received appropriate SIT and were treated with insulin for more than a year were re-educated...

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Autores principales: Honjo, Sachiko, Koshii, Yukako, Tozaka, Shusaku, Tateno, Hiroko, Keidai, Yamato, Seno, Yohei, Iwasaki, Yorihiro, Iwasaki, Kanako, Ayano, Shiho, Hamasaki, Akihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Authors. Published by Elsevier B.V. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9701578/
https://www.ncbi.nlm.nih.gov/pubmed/36544290
http://dx.doi.org/10.1016/j.diabres.2022.110192
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author Honjo, Sachiko
Koshii, Yukako
Tozaka, Shusaku
Tateno, Hiroko
Keidai, Yamato
Seno, Yohei
Iwasaki, Yorihiro
Iwasaki, Kanako
Ayano, Shiho
Hamasaki, Akihiro
author_facet Honjo, Sachiko
Koshii, Yukako
Tozaka, Shusaku
Tateno, Hiroko
Keidai, Yamato
Seno, Yohei
Iwasaki, Yorihiro
Iwasaki, Kanako
Ayano, Shiho
Hamasaki, Akihiro
author_sort Honjo, Sachiko
collection PubMed
description AIMS: To conduct a study on glycemic control improvement by appropriate re-education on the self-injection technique (SIT) in patients with diabetes mellitus undergoing insulin therapy. METHODS: Patients who received appropriate SIT and were treated with insulin for more than a year were re-educated. For the observation period of six months, the subjects’ SIT was checked, and hemoglobin A1c (HbA1c) levels were measured at each visit. HbA1c levels, insulin doses, and behavioral changes in SIT were investigated at baseline and at the end of the observation period. RESULTS: In the per-protocol set population, the HbA1c level decreased by 0.2 % (2.0 mmol/mol) on average, showing a significant difference (p = 0.009). No significant difference was observed in the proportion of subjects with decreased HbA1c levels, changes in total daily insulin doses, or blood glucose levels. Four of the six SIT items covered by re-education were improved. CONCLUSIONS: Providing re-education on insulin SIT was considered effective in reducing HbA1c levels and improving adherence to proper SIT.
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spelling pubmed-97015782022-11-28 Exploratory study on glycemic control improvement for patients with diabetes mellitus by appropriate re-education on insulin self-injection technique during COVID-19 pandemic Honjo, Sachiko Koshii, Yukako Tozaka, Shusaku Tateno, Hiroko Keidai, Yamato Seno, Yohei Iwasaki, Yorihiro Iwasaki, Kanako Ayano, Shiho Hamasaki, Akihiro Diabetes Res Clin Pract Article AIMS: To conduct a study on glycemic control improvement by appropriate re-education on the self-injection technique (SIT) in patients with diabetes mellitus undergoing insulin therapy. METHODS: Patients who received appropriate SIT and were treated with insulin for more than a year were re-educated. For the observation period of six months, the subjects’ SIT was checked, and hemoglobin A1c (HbA1c) levels were measured at each visit. HbA1c levels, insulin doses, and behavioral changes in SIT were investigated at baseline and at the end of the observation period. RESULTS: In the per-protocol set population, the HbA1c level decreased by 0.2 % (2.0 mmol/mol) on average, showing a significant difference (p = 0.009). No significant difference was observed in the proportion of subjects with decreased HbA1c levels, changes in total daily insulin doses, or blood glucose levels. Four of the six SIT items covered by re-education were improved. CONCLUSIONS: Providing re-education on insulin SIT was considered effective in reducing HbA1c levels and improving adherence to proper SIT. The Authors. Published by Elsevier B.V. 2023-01 2022-11-28 /pmc/articles/PMC9701578/ /pubmed/36544290 http://dx.doi.org/10.1016/j.diabres.2022.110192 Text en © 2022 The Authors Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Honjo, Sachiko
Koshii, Yukako
Tozaka, Shusaku
Tateno, Hiroko
Keidai, Yamato
Seno, Yohei
Iwasaki, Yorihiro
Iwasaki, Kanako
Ayano, Shiho
Hamasaki, Akihiro
Exploratory study on glycemic control improvement for patients with diabetes mellitus by appropriate re-education on insulin self-injection technique during COVID-19 pandemic
title Exploratory study on glycemic control improvement for patients with diabetes mellitus by appropriate re-education on insulin self-injection technique during COVID-19 pandemic
title_full Exploratory study on glycemic control improvement for patients with diabetes mellitus by appropriate re-education on insulin self-injection technique during COVID-19 pandemic
title_fullStr Exploratory study on glycemic control improvement for patients with diabetes mellitus by appropriate re-education on insulin self-injection technique during COVID-19 pandemic
title_full_unstemmed Exploratory study on glycemic control improvement for patients with diabetes mellitus by appropriate re-education on insulin self-injection technique during COVID-19 pandemic
title_short Exploratory study on glycemic control improvement for patients with diabetes mellitus by appropriate re-education on insulin self-injection technique during COVID-19 pandemic
title_sort exploratory study on glycemic control improvement for patients with diabetes mellitus by appropriate re-education on insulin self-injection technique during covid-19 pandemic
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9701578/
https://www.ncbi.nlm.nih.gov/pubmed/36544290
http://dx.doi.org/10.1016/j.diabres.2022.110192
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