Development of a New Questionnaire on Glycemic Control and its Application to Insulin-treated Patients to Investigate the Frequency of Hypoglycemia and Hyperglycemia
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Accession number;05A0184948
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| Title;Development of a New Questionnaire on Glycemic Control and its Application to Insulin-treated Patients to Investigate the Frequency of Hypoglycemia and Hyperglycemia |
| Author;
ISHII HITOSHI
(Tenri Hospital, JPN)
FURUYA MIYUKI
(Tenri Hospital, JPN)
ISHIBASHI RIEKO
(Tenri Hospital, JPN)
TSUJII SATORU
(Tenri Hospital, JPN)
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Journal Title;Journal of the Japan Diabetic Society
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Journal Code:Z0279B
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ISSN:0021-437X
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VOL.48;NO.1;PAGE.19-32(2005)
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| Figure&Table&Reference;FIG.6, TBL.4, REF.12 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;We developed a new questionnaire to assess quality of glycemic control and used it to investigate the frequency, timing, and severity of hypoglycemia, frequency of hyperglycemia and perception of glycemic control of insulin-treated patients. The questionnaire consists of 29 items, and its reliability was verified by the test-retest method. The results of this study (N=144) showed that 74.3% of the patients experienced hypoglycemia at least once a month, and that hypoglycemia occurred more frequently in type 1 patients and intensively treated patients. The results revealed high frequencies of hypoglycemia before lunch, before dinner, and while a sleep. The patients were most concerned nocturnal hypoglycemia, and 57.1% of the episodes of severe hypoglycemia occurred while a sleep, 15-26% of the patients were unaware of experiencing hypoglycemia. Although the target level of glycemic control perceived by the patients was very close to the standard level recommended by the Japan Diabetes Society, their actual HbA1c level was 1% higher. The levels of satisfaction with glycemic control and fluctuations in blood glucose were lower than on total insulin therapy. The patients expect such insulin therapy that provides better blood glucose control with lower frequency of hypoglycemia and hyperglycemia. (author abst.) |
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