title: Self-monitoring of blood glucose in type 2 diabetes: recent studies.
abstract: The increasing role for structured and personalized self-monitoring of blood glucose (SMBG) in management of type 2 diabetes has been underlined by randomized and prospective clinical trials. These include Structured Testing Program (or STeP), St. Carlos, Role of Self-Monitoring of Blood Glucose and Intensive Education in Patients with Type 2 Diabetes Not Receiving Insulin, and Retrolective Study Self-Monitoring of Blood Glucose and Outcome in Patients with Type 2 Diabetes (or ROSSO)-in-praxi follow-up. The evidence for the benefit of SMBG both in insulin-treated and non-insulin-treated patients with diabetes is also supported by published reviews, meta-analyses, and guidelines. A Cochrane review reported an overall effect of SMBG on glycemic control up to 6 months after initiation, which was considered to subside after 12 months. Particularly, the 12-month analysis has been criticized for the inclusion of a small number of studies and the conclusions drawn. The aim of this article is to review key publications on SMBG and also to put them into perspective with regard to results of the Cochrane review and current aspects of diabetes management.
authors.affiliation: Forschergruppe Diabetes e.V. at the Helmholtz Center Munich, Ingolstädter Landstrasse 1, 85764 Munich-Neuherberg, Germany. oliver.schnell@lrz.uni-muenchen.de
authors.forename: Oliver
authors.initials: O
authors.lastname: Schnell
authors.forename: Hasan
authors.initials: H
authors.lastname: Alawi
authors.forename: Tadej
authors.initials: T
authors.lastname: Battelino
authors.forename: Antonio
authors.initials: A
authors.lastname: Ceriello
authors.forename: Peter
authors.initials: P
authors.lastname: Diem
authors.forename: Anne-Marie
authors.initials: AM
authors.lastname: Felton
authors.forename: Wladyslaw
authors.initials: W
authors.lastname: Grzeszczak
authors.forename: Kari
authors.initials: K
authors.lastname: Harno
authors.forename: Peter
authors.initials: P
authors.lastname: Kempler
authors.forename: Ilhan
authors.initials: I
authors.lastname: Satman
authors.forename: Bruno
authors.initials: B
authors.lastname: Vergès
mesh_terms: D015190:Blood Glucose Self-Monitoring / Q000295:instrumentation*; D032921:Consensus; D003924:Diabetes Mellitus, Type 2 / Q000097:blood* / Q000628:therapy*; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D057285:Precision Medicine / Q000295:instrumentation / Q000379:methods / Q000639:trends; D016896:Treatment Outcome
chemical_list: D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human