Chang Hsiao-Yun, Yeh Kuei-Chun, Huang Yu-Yao, Li Jui-Hsiang
Department of Nursing, Chang Gung University of Science and Technology, Taoyuan 33303, Taiwan.
Division of Endocrinology and Metabolism, Department of Internal Medicine, Linkou Chang Gung Memorial Hospital, Taoyuan 33305, Taiwan.
Nurs Rep. 2025 Mar 12;15(3):94. doi: 10.3390/nursrep15030094.
In previous studies exploring continuous glucose monitoring (CGM), there has been a limited focus on how CGM influences key behavioral outcomes such as self-efficacy, health behaviors, and medication adherence. : The aim of this study was to assess the impact of combining self-regulation health education with CGM on medication adherence, diabetes self-efficacy, diabetes health behaviors, and glucose control in individuals with diabetes. : A randomized controlled study, reported following the CONSORT 2010 reporting guidelines. Individuals with diabetes volunteered to participate and were randomly allocated into two groups: the CGM group (n = 34) and the control group (n = 34). The CGM group received real-time CGM devices and education on self-regulation theory to enable them to self-adjust health promotion strategies and behaviors, while the control group received routine diabetes health education focusing on self-monitoring of blood glucose. Outcome measures included medication adherence, diabetes self-efficacy, diabetes health behaviors, and glucose control. : The CGM group demonstrated consistent diabetes self-efficacy, significant improvements in diabetes health behaviors, and a reduction in HbA1c levels over time. However, no significant differences in outcomes were observed between the CGM group and the control group. : The use of continuous glucose monitoring (CGM) provides continuous, real-time glucose data. When combined with self-regulation education, it may help provide personalized insights into how specific foods, activities, medications, and stress levels affect blood glucose levels. This allows individuals with diabetes to make personalized adjustments to their lifestyle and treatment plans to optimize their blood sugar control.
在以往探索连续血糖监测（CGM）的研究中，对CGM如何影响关键行为结果（如自我效能感、健康行为和药物依从性）的关注有限。本研究的目的是评估自我调节健康教育与CGM相结合对糖尿病患者的药物依从性、糖尿病自我效能感、糖尿病健康行为和血糖控制的影响。一项随机对照研究，按照CONSORT 2010报告指南进行报告。糖尿病患者自愿参与并被随机分为两组：CGM组（n = 34）和对照组（n = 34）。CGM组接受实时CGM设备和自我调节理论教育，以使他们能够自我调整健康促进策略和行为，而对照组接受侧重于血糖自我监测的常规糖尿病健康教育。结果指标包括药物依从性、糖尿病自我效能感、糖尿病健康行为和血糖控制。CGM组表现出持续的糖尿病自我效能感，糖尿病健康行为有显著改善，且随着时间推移糖化血红蛋白（HbA1c）水平降低。然而，CGM组和对照组在结果上未观察到显著差异。连续血糖监测（CGM）的使用提供连续的实时血糖数据。当与自我调节教育相结合时，它可能有助于提供关于特定食物、活动、药物和压力水平如何影响血糖水平的个性化见解。这使糖尿病患者能够对其生活方式和治疗计划进行个性化调整，以优化血糖控制。
