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Comparison of blood or urine testing by patients with newly diagnosed non-insulin dependent diabetes: patient survey after randomised crossover trial

BMJ 1997; 315 doi: https://doi.org/10.1136/bmj.315.7104.348 (Published 09 August 1997) Cite this as: BMJ 1997;315:348
  1. Pat Miles, diabetes nurse specialista,
  2. Joan Everett, diabetes nurse specialista,
  3. June Murphy, diabetes research nursea,
  4. David Kerr, consultant physiciana
  1. a Bournemouth Diabetes and Endocrine Centre, Royal Bournemouth Hospital, Bournemouth BH7 7DW
  1. Correspondence to: Dr Kerr
  • Accepted 27 February 1997

Introduction

Guidelines for the management of non-insulin dependent diabetes mellitus often contain little information as to which is the preferred method of monitoring glucose at home.1 Although there is much enthusiasm for blood testing, previous studies have been inconclusive, probably reflecting the way patients were selected, as many have included people with poorly controlled, longstanding diabetes. Defects in patients' knowledge and diabetes education are likely to cause errors. Patients will also produce “dud results if their teachers are incompetent.” 2

We compared home testing of blood and urine in newly diagnosed patients with diabetes. All patients participated in an identical structured group education programme, beginning within a week of their diagnosis.

Subjects, methods, and results

In Bournemouth, patients with newly diagnosed diabetes are seen in groups of 6-16 in a nurse led group education session within a week of the diagnosis being …

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