Wysocki T
Ohio State University College of Medicine, Columbus.
J Behav Med. 1989 Apr;12(2):183-205. doi: 10.1007/BF00846550.
Despite frequent use in the management of diabetes mellitus, self-monitoring of blood glucose (SMBG) is not achieving its potential therapeutic impact. Among the behavioral factors which may interfere with the improvement of diabetic control through SMBG are noncompliance and inadequate utilization of obtained blood glucose data. This paper reviews the research concerning these issues, including estimates of the prevalence and clinical significance of each of these limiting factors and an evaluation of assessment and intervention strategies which have been investigated. The methodological problems encountered in attempts to demonstrate that SMBG behaviors affect diabetic control are discussed. Although the existing research literature provides very weak evidence linking SMBG behaviors and diabetic control, the author asserts that it is premature to conclude that such relationships cannot be established and maintained.
尽管血糖自我监测（SMBG）在糖尿病管理中被频繁使用，但其尚未发挥出潜在的治疗作用。在可能通过血糖自我监测干扰糖尿病控制改善的行为因素中，存在不依从以及对所获血糖数据利用不足的情况。本文综述了关于这些问题的研究，包括对每个限制因素的患病率及临床意义的评估，以及对已研究的评估和干预策略的评价。文中讨论了在试图证明血糖自我监测行为影响糖尿病控制时遇到的方法学问题。尽管现有研究文献提供的证据非常薄弱，难以证明血糖自我监测行为与糖尿病控制之间的联系，但作者断言，就此得出无法建立和维持这种关系的结论还为时过早。
