Assessing glycemic control with self-monitoring of blood glucose and hemoglobin A(1c) measurements.
Hemoglobin A(1c) (HbA(1c)) is the gold standard for monitoring glycemic control and serves as a surrogate for diabetes-related complications. Although HbA(1c) measures mean glycemic exposure during the preceding 2 to 3 months, it does not provide iInformation about day-to-day changes in glucose levels. Self-monitoring of blood glucose represents an important adjunct to HbA(1c) because it can distinguish among fasting, preprandial, and postprandial hyperglycemia; detect glycemic excursions; identify hypoglycemia; and provide immediate feedback to patients about the effect of food choices, activity, and medication on glycemic control.
Dailey
George
G
Division of Diabetes and Endocrinology, Scripps Clinic and Research Foundation, 10666 N Torrey Pines Rd, La Jolla, CA 92037, USA. dailey.george@scrippshealth.org
D001786:Blood Glucose / Q000378:metabolism*; D015190:Blood Glucose Self-Monitoring; D003922:Diabetes Mellitus, Type 1 / Q000097:blood*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood*; D005215:Fasting / Q000097:blood; D006442:Glycated Hemoglobin / Q000378:metabolism*; D006801:Humans; D019518:Postprandial Period / Q000502:physiology; D015203:Reproducibility of Results
D001786:Blood Glucose; D006442:Glycated Hemoglobin