Improvements in metabolic and clinical parameters were also monitored during each patients' daily routine in the outpatient setting and assessed by self-blood glucose monitoring
, electronic diary, and continuous glucose monitoring.
This study investigated self-blood glucose monitoring
practices among T2DM patients in Al-Eskan PHCC in Makkah Al-Mukarramah city and found that SMBG performance rate (70.8%) is comparable to the rates reported in the Western countries.
CSII improves glucose control by providing "background" changes in insulin dosing to match the complexities of metabolism in pregnancy and CGM (as opposed to self-blood glucose monitoring
) improves glucose control by removing the fear of unexpected lows, which is a big issue in my patients, and by warning of impending highs.
While not approved for "treatment decisions," the data are used in conjunction with self-blood glucose monitoring
to inform medication adjustments.
"Challenges to diabetes care include lifestyle modifications, use of self-blood glucose monitoring
results to optimally adjust insulin therapy (for both types 1 and 2) and overall anxiety about diabetes and its treatment options," notes Hirsch.
Frequent self-blood glucose monitoring
is used to match pre and post-meal blood glucose values with oral hypoglycemic agents or insulin.
When the DCCT ended in 1993, the patients who had been randomized to conventional treatment (which had involved just one or two insulin injections per day) were taught how to perform intensive therapy (at least three injections per day or an insulin pump, with frequent self-blood glucose monitoring
), and all subjects returned to regular medical care.
They received dietary counseling and were taught how to perform self-blood glucose monitoring
, with targets of no more than 99 mg/dL premeal and 126 mg/dL 2 hours after eating.
Self-blood glucose monitoring
(SBGM) was done twice a day.