Blood glucose monitoring: reducing the cost, increasing the benefit.
The level of self blood glucose monitoring in patients who have diabetes has escalated over recent years following the results of two main research studies which identified a strong correlation between 'tight' blood glucose control and the reduction in diabetes related complications. This article analyses the effectiveness of self blood glucose monitoring for people with diabetes. Based on the research presented it goes on to discuss which patients should be encouraged to self blood glucose monitor and identify those for whom it may not be beneficial. Self blood glucose monitoring is discussed in relation to those receiving insulin therapy and those on diet and oral medication. Appropriate monitoring regimens are highlighted to ensure the effects of diet and medication on blood glucose level is assessed. Finally, strategies to look for patterns and trends in blood glucose levels are considered.
Holt
Paula
P
Diabetes Care, School of Healthcare, University of Leeds. p.holt@leeds.ac.uk
D001786:Blood Glucose / Q000378:metabolism; D015190:Blood Glucose Self-Monitoring / Q000191:economics / Q000379:methods; D003362:Cost-Benefit Analysis; D003920:Diabetes Mellitus / Q000097:blood / Q000517:prevention & control*; D003927:Diet, Diabetic; D019317:Evidence-Based Medicine; D015444:Exercise; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D013222:State Medicine / Q000191:economics; D016896:Treatment Outcome; D006113:United Kingdom
D001786:Blood Glucose; D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents; D007328:Insulin