Page 22 - Glucose Monitoring Devices

Guidelines for SMBG 17

Table 1.1 Current clinical guidelines and consensus statements for self-monitoring
of blood glucose in type 2 diabetes.dcont’d
Guideline Recommendations
clinical requirements (to identify/prevent/
manage acute hyper- and hypoglycemia) and
provider requirements for data on glycaemic
patterns and to monitor the impact of
therapeutic decision-making.
• The purpose(s) of performing SMBG and using
SMBG data should be agreed between the
person with diabetes and the healthcare
provider. These agreed-upon purposes/goals
and actual review of SMBG data should be
documented.
• SMBG use requires an easy procedure for
patients to regularly monitor the performance
and accuracy of their glucose meter
National Institute for Health and Care • Take the Driver and Vehicle Licensing Agency
Excellence e (DVLA) At a glance guide to the current medical
standards of fitness to drive into account when
offering self-monitoring of blood glucose levels
for adults with type 2 diabetes.
• Do not routinely offer self-monitoring of blood
glucose levels for adults with type 2 diabetes
unless:
o the person is on insulin or
o there is evidence of hypoglycemic episodes
or
o the person is on oral medication that may
increase their risk of hypoglycemia while
driving or operating machinery or
o the person is pregnant, or is planning to
become pregnant.
• Consider short-term self-monitoring of blood
glucose levels in adults with type 2 diabetes
(and review treatment as necessary):
o when starting treatment with oral or
intravenous corticosteroids or
o to confirm suspected hypoglycemia.
• Be aware that adults with type 2 diabetes who
have acute intercurrent illness are at risk of
worsening hyperglycemia. Review treatment as
necessary.
• If adults with type 2 diabetes are self-
monitoring their blood glucose levels, conduct
a structured assessment at least annually. The
assessment should include the following:
o the person’s self-monitoring skills
o the quality and frequency of testing
Continued