1. Date of download: 6/24/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Use of a Blood Glucose Monitoring Manual to Enhance Monitoring Adherence in Adults With Diabetes: A Randomized Controlled Trial Arch Intern Med. 2006;166(6):689-695. doi:10.1001/archinte.166.6.689 Study design of randomized intervention trial. BGM+ indicates Blood Glucose Monitoring Owner's Manual intervention; MT, attention control (blood glucose meter only); and SC, standard care. Figure Legend:

2. Date of download: 6/24/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Use of a Blood Glucose Monitoring Manual to Enhance Monitoring Adherence in Adults With Diabetes: A Randomized Controlled Trial Arch Intern Med. 2006;166(6):689-695. doi:10.1001/archinte.166.6.689 Cover and sample page from the Blood Sugar Monitoring Owner's Manual. Figure Legend:

3. Date of download: 6/24/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Use of a Blood Glucose Monitoring Manual to Enhance Monitoring Adherence in Adults With Diabetes: A Randomized Controlled Trial Arch Intern Med. 2006;166(6):689-695. doi:10.1001/archinte.166.6.689 Frequency of blood glucose (BG) monitoring. A, Change in BG monitoring frequency. A significantly higher percentage of participants in the Blood Sugar Monitoring Owner's Manual intervention (BGM+) group maintained or increased their monitoring frequency during the study compared with those in the attention control (BG meter only) (MT) group (Fisher exact test; P =.02). B, Percentage of patients monitoring BG levels 4 or more times daily. The BGM+ group had a significantly higher percentage of patients monitoring levels 4 or more times daily at study's end than the MT group (χ 2 1 = 6.41; P =.01). C, Frequency of BG monitoring among patients with type 1 diabetes mellitus. Patients with type 1 diabetes in the BGM+ group significantly increased their monitoring frequency, exceeding the American Diabetes Association's recommendation to check BG levels 3 times daily (P =.004). There was no significant increase among patients with type 1 diabetes in the MT group. Figure Legend:

4. Date of download: 6/24/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Use of a Blood Glucose Monitoring Manual to Enhance Monitoring Adherence in Adults With Diabetes: A Randomized Controlled Trial Arch Intern Med. 2006;166(6):689-695. doi:10.1001/archinte.166.6.689 Definition of hemoglobin A 1C and diabetes-specific negative affect. A higher percentage of the Blood Sugar Monitoring Owner's Manual intervention (BGM+) group correctly defined hemoglobin A 1C compared with the other groups (χ 2 2 = 6.69; P =.04). A smaller percentage of the BGM+ group reported negative affect regarding blood glucose (BG) monitoring results than the other groups (χ 2 2 = 6.86; P =.03). MT indicates attention control (blood glucose meter only); SC, standard care. Figure Legend:

5. Date of download: 6/24/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Use of a Blood Glucose Monitoring Manual to Enhance Monitoring Adherence in Adults With Diabetes: A Randomized Controlled Trial Arch Intern Med. 2006;166(6):689-695. doi:10.1001/archinte.166.6.689 Change in glycemic control from baseline to the end of the study. A higher percentage of patients in the Blood Sugar Monitoring Owner's Manual intervention (BGM+) group improved their glycemic control compared with the attention control (blood glucose meter only) (MT) and standard care (SC) groups combined (χ 2 1 = 3.75; P =.05). Figure Legend:

6. Date of download: 6/24/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Use of a Blood Glucose Monitoring Manual to Enhance Monitoring Adherence in Adults With Diabetes: A Randomized Controlled Trial Arch Intern Med. 2006;166(6):689-695. doi:10.1001/archinte.166.6.689 Blood glucose monitoring frequency at study completion according to group. In a significant multivariate model (R 2 = 0.26; P<.001) controlling for age, sex, type and duration of diabetes, educational level, and socioeconomic status, group assignment (P =.02) was a significant predictor of blood glucose monitoring frequency at study completion. Data points reflect mean ± SE (error bars) for each group. BGM+ indicates Blood Sugar Monitoring Owner's Manual intervention; MT, attention control (blood glucose meter only); and SC, standard care. Figure Legend: