Evaluation of glycemic control and self-efficacy among patients receiving continuous glucose monitoring with immediate counseling feedback compared with delayed counseling feedback

Abstract

OBJECTIVE The whole picture of glycemic excursions could be revealed by continuous glucose monitoring (CGM) thoroughly This study is designed to explore the effect of feedback counseling using professional CGM on glycemic control self-efficacy and self-management behaviors among middle aged and older adults with poor controlled type 2 diabetes mellitus This study also explores the difference on timing of feedback after CGM exam METHOD This study enrolled patients aged 45 years and older with HbA1c more than 7% Participants were assigned into immediate feedback (n=7) or delayed feedback (n=10) groups using 4-block randomization design The immediate feedback group received counseling using CGM graphs on the day of sensor removal by the same investigator The delayed feedback group received CGM-based counseling 3 months later as usual care schedule by their primary care physicians Semi-structured questionnaires drug adjustment records diet diary including photos and physical activities measured by fitness bracelet were evaluated at baseline 3 months and 6 months follow-up Diet composition was analyzed by the same registered dietitian Physical activity levels were downloaded from Fitbit Web site RESULTS Participants received immediate feedback had lower depression scores (p=0 024) and better self-efficacy score (p

Date of Award	2018 Jan 30
Original language	English
Supervisor	Ching-Ju Chiu (Supervisor)