Page 21 - Glucose Monitoring Devices

16 CHAPTER 1 Introduction to SMBG

Table 1.1 Current clinical guidelines and consensus statements for self-monitoring
of blood glucose in type 2 diabetes.dcont’d
Guideline Recommendations
optional component of self-management, and
in association with HbA1c testing:
o To provide information on, and help avoid,
hypoglycemia.
o To assess changes in blood glucose control
due to medications and lifestyle changes.
o To monitor the effects of foods on
postprandial glycemia.
o To monitor changes in blood glucose levels
during intercurrent illness.
• Regular use of SMBG should not be
considered part of routine care where diabetes
is well controlled by nutrition therapy or oral
medications alone.
• SMBG protocols (intensity and frequency)
should be individualized to address each
individual’s specific educational/behavioral/
clinical requirements, and provider
requirements for data on glycemic patterns to
monitor therapeutic decision-making.
• Structured assessment of self-monitoring
skills, the quality and use made of the results
obtained, and of the equipment used, should
be made annually.
International Diabetes Federation • SMBG should be used only when individuals
with diabetes (and/or their care-givers) and/or
Self-monitoring of blood glucose in their healthcare providers have the knowledge,
noninsulin treated type 2 diabetes d skills, and willingness to incorporate SMBG
monitoring and therapy adjustment into their
diabetes care plan to attain the agreed treat-
ment goals.
• SMBG should be considered at the time of
diagnosis to enhance the understanding of
diabetes as part of individuals’ education and to
facilitate timely treatment initiation and titration
optimization.
• SMBG should also be considered as part of
ongoing diabetes self-management education
to assist people with diabetes to better under-
stand their disease and provide a means to
actively and effectively participate in its control
and treatment, modifying behavioral and phar-
macological interventions as needed, in
consultation with their healthcare provider.
• SMBG protocols (intensity and frequency)
should be individualized to address each
individual’s specific educational/behavioral/