Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/32828
Title: The impact of structured self-monitoring of blood glucose on clinical, behavioral, and psychosocial outcomes among adults with non-insulin-treated type 2 diabetes: a systematic review and meta-analysis.
Austin Authors: Holmes-Truscott, Elizabeth;Baptista, Shaira;Ling, Mathew;Collins, Eileen;Ekinci, EIif I;Furler, John;Hagger, Virginia;Manski-Nankervis, Jo-Anne;Wells, Caroline;Speight, Jane
Affiliation: School of Psychology, Deakin University, Geelong, VIC, Australia.
School of Psychology, Deakin University, Geelong, VIC, Australia.
Neami National, Preston, VIC, Australia.
Diabetes Victoria, Melbourne, VIC, Australia.
Medicine (University of Melbourne)
Department of General Practice, The University of Melbourne, Melbourne, VIC, Australia.
The Australian Centre for Behavioural Research in Diabetes, Diabetes Victoria, Melbourne, VIC, Australia.;School of Nursing and Midwifery, Faculty of Health, Deakin University, Burwood, VIC, Australia.
The Australian Centre for Accelerating Diabetes Innovations (ACADI), The University of Melbourne, Melbourne, VIC, Australia.;Department of General Practice, The University of Melbourne, Melbourne, VIC, Australia.
Diabetes Tasmania, Hobart, TAS, Australia.
School of Psychology, Deakin University, Geelong, VIC, Australia.;The Australian Centre for Behavioural Research in Diabetes, Diabetes Victoria, Melbourne, VIC, Australia.
Issue Date: 2023
Date: 2023
Publication information: Frontiers in Clinical Diabetes and Healthcare 2023; 4
Abstract: Self-monitoring of blood glucose (SMBG) is considered of little clinical benefit for adults with non-insulin-treated type 2 diabetes, but no comprehensive review of a structured approach to SMBG has been published to date. To conduct a systematic review and meta-analysis of the impact of sSMBG on HbA1c, treatment modifications, behavioral and psychosocial outcomes, and; examine the moderating effects of sSMBG protocol characteristics on HbA1c. Four databases searched (November 2020; updated: February 2022). Inclusion criteria: non-randomized and randomized controlled trials (RCTs) and prospective observational studies; reporting effect of sSMBG on stated outcomes; among adults (≥18 years) with non-insulin-treated type 2 diabetes. Studies excluded if involving children or people with insulin-treated or other forms of diabetes. Outcome data extracted, and risk of bias/quality assessed independently by two researchers. Meta-analysis was conducted for RCTs, and moderators explored (HbA1c only). From 2,078 abstracts, k=23 studies were included (N=5,372). Risk of bias was evident and study quality was low. Outcomes assessed included: HbA1c (k=23), treatment modification (k=16), psychosocial/behavioral outcomes (k=12). Meta-analysis revealed a significant mean difference favoring sSMBG in HbA1c (-0·29%, 95% CI: -0·46 to -0·11, k=13) and diabetes self-efficacy (0.17%, 95% CI: 0.01 to 0.33, k=2). Meta-analysis revealed no significant moderating effects by protocol characteristics. Findings limited by heterogeneity in study designs, intervention characteristics, and psychosocial assessments. A small positive effect of sSMBG on HbA1c and diabetes self-efficacy was observed. Narrative synthesis of sSMBG intervention characteristics may guide future implementation. https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020208857, identifier CRD42020208857.
URI: https://ahro.austin.org.au/austinjspui/handle/1/32828
DOI: 10.3389/fcdhc.2023.1177030
ORCID: 
Journal: Frontiers in Clinical Diabetes and Healthcare
Start page: 1177030
PubMed URL: 37153750
ISSN: 2673-6616
Type: Journal Article
Subjects: HbA1c
behavioral outcomes
meta-analysis
psychological outcome
self-monitor of blood glucose (SMBG)
structured self-monitoring of blood glucose
systematic review
type 2 diabetes
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