Randomized controlled trial of prevention of diabetes

为了预防糖尿病，我们在糖耐量受损的参与者中进行了随机对照试验。研究对象为某社区的年度健康体检者。共招募了102名参与者。参与者被随机分为干预组和对照组。对干预组在6个月的健康教育方案的基础上，对社区卫生工作者进行自我血糖监测的健康教育，6个月后进行健康相关行为和血糖水平的调查。血红蛋白A1c和身体质量指数。我们观察到干预组中参与者在日常生活中提醒的健康相关行为的数量有显着变化。干预组应限制的健康行为数也明显增加。但这些差异在干预组和对照组之间没有显着差异。本研究表明，自我管理的血糖监测有利于激励参与者保持他们改善的生活方式。

For prevention of diabetes, we conducted randomized controlled trial among participants with impaired glucose tolerance. Participants of annual health check-up in a community were invited to this study. A total of 102 participants were enrolled. Participants were randomly divided into a intervention group and a control group. Health professionals in a community, who had been trained standard protocol of this health education method, conducted the health education to participants in the intervention group using self-administered blood sugar monitoring in addition to standard protocol of 6 month health education program.After six month, we conducted the survey of health related behaviors as well as blood sugar levels, hemoglobin A1c and body mass index.We observed significant change among the intervention group in the number of health related behaviors which participants reminded of in daily life. Number of health behaviors, which should be restricted, were also significantly increased among the intervention group. However these differences were not significantly different between the intervention group and the control group.This study suggests that self-administered blood sugar monitoring is favorable to motivate participants to maintain their improved life styles.