Home monitoring of glucose and blood pressure.
Home monitoring of blood glucose and blood pressure levels can provide patients and physicians with valuable information in the management of diabetes mellitus and hypertension. Home monitoring allows patients to play an active role in their care and may improve treatment adherence and clinical outcomes. Glucose meters currently on the market produce results within 15 percent of serum blood glucose readings and offer a variety of features. Although the data are somewhat conflicting, home glucose monitoring has been associated with improved glycemic control and reduced long-term complications from diabetes. These effects are more pronounced in patients who take insulin. Home blood pressure values predict target organ damage and cardiovascular outcomes better than values obtained in the office. Home blood pressure measurements are also effective at detecting borderline hypertension and monitoring the effectiveness of antihypertensive drugs. Validated arm cuffs are the preferred blood pressure devices for home use. Information from home monitoring should always be used in conjunction with that from regular office visits and other data to make appropriate therapeutic decisions.
Taylor
James R
JR
Department of Pharmacy Practice, University of Florida College of Pharmacy, Gainesville 32610-0486, USA. jtaylor@cop.ufl.edu
Campbell
Kendall M
KM
D001786:Blood Glucose / Q000378:metabolism; D015190:Blood Glucose Self-Monitoring / Q000191:economics / Q000295:instrumentation / Q000706:statistics & numerical data; D001794:Blood Pressure; D018660:Blood Pressure Monitoring, Ambulatory / Q000191:economics / Q000295:instrumentation / Q000706:statistics & numerical data; D003362:Cost-Benefit Analysis; D048909:Diabetes Complications / Q000517:prevention & control; D003920:Diabetes Mellitus / Q000097:blood / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy
D001786:Blood Glucose