Page 23 - Glucose Monitoring Devices

18 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
o checking that the person knows how to
interpret the blood glucose results and what
action to take
o the impact on the person’s quality of life
o the continued benefit to the person
o the equipment used.
Diabetes UK f • SMBG in people with Ttype 2 diabetes on
insulin and medication that carries a risk of
hypoglycemia should be regarded as an
integral part of treatment and should not be
restricted.
• For people not in these treatment groups,
SMBG should be available based on an
individual assessment of need. Arbitrary
withdrawal of SMBG in those who clearly
benefit from doing so should not occur. People
have the right to ask for a review and challenge
these decisions if necessary.
• DVLA guidance requires some treatment
groups to conduct testing for licensing and
safety reasons.
• Use and frequency of testing, choice of meter,
and target blood glucose should be agreed
between the person with diabetes and their
healthcare team. Local medicine management
policies should allow sufficient choice and
flexibility per individual circumstances to be
taken into account.
• Structured assessment of self-monitoring
skills, the equipment used, and the quality and
use made of the results obtained should be
performed at least annually, or more frequently
according to need.
• SMBG should be integrated with a care
package, accompanied by education, and
should enable the individual to either interpret
and adjust treatment accordingly or inform their
healthcare team.
AACE/ACE Outpatient Glucose Type 2dReceiving insulin/sulfonylureas, glinides
Monitoring Consensus Statement g • Structured BGM is recommended.
• BGM in patients on intensive insulin: fasting,
premeal, bedtime, and periodically in the
middle of the night.
• BGM in patients on insulin other diabetes
medication: at a minimum, when fasting and at
bedtime.