1. Self-Monitoring of Blood Glucose to Assess Dawn Phenomenon in Chinese People with Type 2 Diabetes Mellitus
- Author
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Yuxin Huang, Wen Wu, Jiao Sun, Jieyuzhen Qiu, and Haidong Wang
- Subjects
medicine.medical_specialty ,Article Subject ,Endocrinology, Diabetes and Metabolism ,Dawn phenomenon ,Physiology ,030209 endocrinology & metabolism ,030204 cardiovascular system & hematology ,Linear formula ,lcsh:Diseases of the endocrine glands. Clinical endocrinology ,03 medical and health sciences ,0302 clinical medicine ,Endocrinology ,Internal medicine ,Linear regression ,medicine ,lcsh:RC648-665 ,Endocrine and Autonomic Systems ,business.industry ,Continuous glucose monitoring ,Incidence (epidemiology) ,Glucose Measurement ,Type 2 Diabetes Mellitus ,Chinese people ,Clinical Study ,business - Abstract
Aims. We investigated whether self-monitoring of blood glucose could be used to assess dawn phenomenon in Chinese people with type 2 diabetes mellitus (T2DM).Methods. A total of 306 people with T2DM underwent continuous glucose monitoring and self-monitoring of blood glucose for 72 h. A linear model was used to fit the optimal linear formula of the magnitude of dawn phenomenon (ΔDawn) and self-monitoring of blood glucose values.Results. The prevalence of dawn phenomenon was similar within different oral antidiabetic drug groups (42.5%, 31.5%, and 40.9%,P=0.216). Multiple variable linear regression showed that prebreakfast, prelunch, and predinner glucose measurements were independently and significantly correlated with ΔDawn. The linear formula between ΔDawn and blood glucose was as follows:ΔDawn mg/dL=0.557×prebreakfast−0.065×prelunch−0.164×predinner−20.894 mg/dL(adjustedR2=0.302,P=0.000).Conclusions. Dawn phenomenon could be partly assessed by blood glucose self-monitoring in Chinese people with T2DM using the abovementioned formula. The incidence of dawn phenomenon was similar among patients in different oral antidiabetic drug groups.
- Published
- 2017