For diabetics type 2 blood sugar control essential. Also, it is diabetics type 2 who usually poorly control own blood sugar, why? Korean research group find out the answer to this question.
Young Min Cho, MD, PhD, Department of Internal Medicine, Seoul National University College of Medicine, South Korea, and colleagues developed a mobile healthcare platform with an individualized diabetes management algorithm, as well as many others features typically not seen in other systems. Result published in Diabetes care journal.
I usually used log book which come with meter. When in 2011 I started to take insulin paper log book no longer was good for my blood sugar control. My personal A1c>9.4% was too high to be accommodated by small log book which usually a size of palm.So, I adapted another book, bigger in size. I did not have smart phone. So, I had to use only paper book, but bigger in size. This hit the boll. Now my blood sugar is A1c=4.6%.
I just thinking, if I do have smart phone, probably I will be needed lower dose of insulin to bring high numbers down? Unfortunately, I do not have smart phone.
I found this way long before Korean researchers published their findings. I posted this very often in my blog. I just did not know that blood sugar improvement was caused by using a new log book in stead of small log book which come with glucose meter.
Now I am thinking, if simple way to use different paper work so effectively, there are more ways to control blood sugar then we usually were told such as diet and work out. We can try to use different pens to wright down numbers. I usually use cheapest pen, one box of probably 100 of them, and it is about $5. There are no cheaper pens I every was able to find. Last boz I got about 10 years ago, and still use them.
What if I will switch to gel pens? Would it work better? I usually use simple pen to put down everything in log book, such as time of first reading and number on the meter screen, order to Walmart and price I paid, what credit card I used, and all into I need to be handy. This log book is all the time on my table, so any info cannot be lost. I even never discharge these log books, just put them in box.
To record dose of insulin I used I use gel pen, another color. For me it is important to see where I put record of dose of insulin and where I put info regarding my Walmart order. Gel pens I buy in Staples, and they are also sold in boxes, different colors. I can use different colors to write down level of sugar, and dose of insulin.
Now I wandering, is the color important in blood sugar control? There are good way to experiment. Probably, with different colors of pen I can reduce not only blood sugar level but dose of insulin as well. It is too expensive to pay for Insulin. I need very high dose. Cost is higher then $3000 for month. It is more effective to use different pens and books then pay for insulin, needles.
I think, Korean researchers must be honored Noble Price.
Young Min Cho, MD, PhD, Department of Internal Medicine, Seoul National University College of Medicine, South Korea, and colleagues developed a mobile healthcare platform with an individualized diabetes management algorithm, as well as many others features typically not seen in other systems. Result published in Diabetes care journal.
We conducted a 24-week, multicenter, randomized controlled trial with adult patients with inadequately controlled type 2 diabetes. The patients were randomly assigned to the mDiabetes group or the paper logbook (pLogbook) group. The primary end point was the difference of the change in HbA1c from baseline between the two groups.I can prove, the findings are 'true'.
http://care.diabetesjournals.org/content/early/2018/10/26/dc17-2197
I usually used log book which come with meter. When in 2011 I started to take insulin paper log book no longer was good for my blood sugar control. My personal A1c>9.4% was too high to be accommodated by small log book which usually a size of palm.So, I adapted another book, bigger in size. I did not have smart phone. So, I had to use only paper book, but bigger in size. This hit the boll. Now my blood sugar is A1c=4.6%.
I just thinking, if I do have smart phone, probably I will be needed lower dose of insulin to bring high numbers down? Unfortunately, I do not have smart phone.
I found this way long before Korean researchers published their findings. I posted this very often in my blog. I just did not know that blood sugar improvement was caused by using a new log book in stead of small log book which come with glucose meter.
Now I am thinking, if simple way to use different paper work so effectively, there are more ways to control blood sugar then we usually were told such as diet and work out. We can try to use different pens to wright down numbers. I usually use cheapest pen, one box of probably 100 of them, and it is about $5. There are no cheaper pens I every was able to find. Last boz I got about 10 years ago, and still use them.
What if I will switch to gel pens? Would it work better? I usually use simple pen to put down everything in log book, such as time of first reading and number on the meter screen, order to Walmart and price I paid, what credit card I used, and all into I need to be handy. This log book is all the time on my table, so any info cannot be lost. I even never discharge these log books, just put them in box.
To record dose of insulin I used I use gel pen, another color. For me it is important to see where I put record of dose of insulin and where I put info regarding my Walmart order. Gel pens I buy in Staples, and they are also sold in boxes, different colors. I can use different colors to write down level of sugar, and dose of insulin.
Now I wandering, is the color important in blood sugar control? There are good way to experiment. Probably, with different colors of pen I can reduce not only blood sugar level but dose of insulin as well. It is too expensive to pay for Insulin. I need very high dose. Cost is higher then $3000 for month. It is more effective to use different pens and books then pay for insulin, needles.
RESULTS HbA1c reduction from baseline was greater in the mDiabetes group (−0.40 ± 0.09%, n = 90) than in the pLogbook group (−0.06 ± 0.10%, n = 82). The difference of adjusted mean changes was 0.35% (95% CI 0.14–0.55, P = 0.001). The proportion of patients whose HbA1c fell below 7.0% (53 mmol/mol) was 41.1% for the mDiabetes group and 20.7% for the pLogbook group (odds ratio [OR] 2.01, 95% CI 1.24–3.25, P = 0.003). The percentage of patients who attained HbA1c levels below 7.0% (53 mmol/mol) without hypoglycemia was 31.1% in the mDiabetes group and 17.1% in the pLogbook group (OR 1.82, 95% CI 1.03–3.21, P = 0.024). There was no difference in the event numbers of severe hyperglycemia and hypoglycemia between the two groups.As it is easy to see, difference in color of writing, paper of log book, size of log book, and many other tools we usually use to record our blood sugar and medicine play so significant role that even low blood sugar can be avoided with proper color of log book.
I think, Korean researchers must be honored Noble Price.
via Ravenvoron
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