[From the Cochrane Library and Diabetes Care: self-monitoring of blood glucose probably an effective way to improve glycaemic control in patients with type 2 diabetes not taking insulin].
Self-monitoring of blood glucose has been found to be effective for patients with type I diabetes and for patients with type 2 diabetes taking insulin. There is much debate on the effectiveness of self-monitoring of blood glucose in the management of patients with type 2 diabetes who are not taking insulin. A systematic review of 6 randomised controlled trials comparing self-monitoring of blood glucose with standard care, self-monitoring of urine glucose, or both showed that self-monitoring of blood glucose may be effective in improving glycaemic control in patients with type 2 diabetes who are not using insulin. There was scant data on patient-related outcomes, such as quality of life, well being and satisfaction. Therefore, more large long-term studies of high quality are needed.
Welschen
L M C
LM
VU Medisch Centrum, Instituut voor Extramuraal Geneeskundig Onderzoek (EMGO), Van der Boechorststraat 7,1081 BT Amsterdam. l.welschen@vumc.nl
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Dekker
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Heine
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Stalman
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D015190:Blood Glucose Self-Monitoring; D003924:Diabetes Mellitus, Type 2 / Q000097:blood* / Q000188:drug therapy; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D016032:Randomized Controlled Trials as Topic
D007004:Hypoglycemic Agents