Patient Perception and Use of an Insulin Injector/Glucose Monitor Combined Device

This clinical trial assessed patient preference, satisfaction, and use of an insulin injector/glucose monitor combination device versus syringes and a separate glucose monitor. In a randomized, multicenter, 2-period crossover study, 15 patients with type 1 diabetes were randomized to use either a co...

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Veröffentlicht in:The Diabetes educator 2004-03, Vol.30 (2), p.301-308
Hauptverfasser: Bode, Bruce, Shelmet, John, Gooch, Brent, Hassman, David R., Liang, John, Smedegaard, Jorgen K., Skovlund, Soren, Berg, Birgitte, Lyness, William, Schneider, Stephen H.
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container_end_page 308
container_issue 2
container_start_page 301
container_title The Diabetes educator
container_volume 30
creator Bode, Bruce
Shelmet, John
Gooch, Brent
Hassman, David R.
Liang, John
Smedegaard, Jorgen K.
Skovlund, Soren
Berg, Birgitte
Lyness, William
Schneider, Stephen H.
description This clinical trial assessed patient preference, satisfaction, and use of an insulin injector/glucose monitor combination device versus syringes and a separate glucose monitor. In a randomized, multicenter, 2-period crossover study, 15 patients with type 1 diabetes were randomized to use either a combined injector/monitor device or syringes, a vial, and a separate glucose monitor, then switched to the alternate treatment. Efficacy, safety, preference, satisfaction, and actual use (via meter download) of the 2 systems were compared. Most of the patients preferred using the combination device to syringes and a separate meter. Results from the Handling of Delivery Systems questionnaire given at the end of the study indicated that 49% of patients felt they tested their blood glucose more often with the combination device than with a separate meter. A higher frequency of daily monitoring was reported with the combination device in patients overall (approximately 1 more reading per week). However, a large subset of patients (32%) showed substantial increases in their frequency of daily glucose monitoring (an average of 1 additional reading per day). Use of the combination device was associated with significant improvements in patient treatment satisfaction.
doi_str_mv 10.1177/014572170403000223
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subjects Adult
Analysis of Variance
Attitude to Health
Blood Glucose Self-Monitoring - adverse effects
Blood Glucose Self-Monitoring - instrumentation
Blood Glucose Self-Monitoring - psychology
Cross-Over Studies
Diabetes Mellitus, Type 1 - drug therapy
Diabetes Mellitus, Type 1 - metabolism
Diabetes Mellitus, Type 1 - psychology
Equipment Design
Female
Glycated Hemoglobin A - metabolism
Health Knowledge, Attitudes, Practice
Humans
Hypoglycemic Agents - administration & dosage
Injections, Subcutaneous - adverse effects
Injections, Subcutaneous - instrumentation
Injections, Subcutaneous - psychology
Insulin - administration & dosage
Male
Safety
Self Administration - instrumentation
Self Administration - psychology
Surveys and Questionnaires
United States
title Patient Perception and Use of an Insulin Injector/Glucose Monitor Combined Device
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