A multicenter evaluation of blood XXXX awareness training-II.

@entity1723 @entity413 @entity4053
OBJECTIVE: Blood @entity413 awareness training (BGAT) teaches individuals with @entity1723 to more accurately estimate/detect their blood @entity413 (BG) fluctuations. It has not, however, consistently resulted in improved ability to detect low BG. To assess an enhanced version of BGAT (BGAT-II), with more focus on increasing sensitivity to low BG events, a multicenter study was undertaken. Following up on previous findings that BGAT is most effective with individuals who are least accurate in estimating BG, this study explicitly recruited subjects who did and did not report reduced awareness of @entity4053 . RESEARCH DESIGN AND METHODS: Seventy-eight subjects from three research sites participated in a repeated baseline design. Subjects' BG estimation accuracy and BG profiles were assessed 6 months before, immediately before, and immediately after BGAT-II. RESULTS: Post-treatment, BGAT-II led to better overall accuracy in detecting BG fluctuations and better detection of both low and high BG levels. This was achieved while the number of low readings of self-monitoring of blood @entity413 (SMBG) was reduced. Reduction in the number of low SMBG events was significant only for subjects reporting awareness of @entity4053 . Detection of low BG was significant only for subjects reporting reduced awareness of @entity4053 . Both groups demonstrated equivalent improvements in detection of high BG levels. CONCLUSIONS: BGAT may be an effective behavioral strategy for reversing hypoglycemic unawareness and an adjunct to intensive insulin therapy to reduce the occurrence of severe @entity4053 .
