What is the recommendation for self-monitoring of blood glucose?
Specifically, the ADA recommends that preprandial plasma glucose values range from 70 to 130 mg/dl, and peak postprandial levels are targeted at <180 mg/dl. The use of SMBG by a person with diabetes can be helpful in developing a longitudinal glucose profile and as an aid in making day-to-day decisions.
When should SMBG be done?
When to Test The most common times to perform SMBG are during a fasting state, before a meal, 1 to 2 hours after a meal, and at bedtime. Some patients may need to test at less common times, such as before snacks, before or after exercise, and prior to performing critical tasks.
What is the major benefit of SMBG levels?
SMBG helps protect patients by allowing them to immediately confirm hypoglycemia and hyperglycemia. Further, SMBG facilitates diabetes self-management education and motivates patients to live healthier lives. SMBG is an integral part of all intensive regimens.
Who should SMBG?
Patients on intensive insulin regimens – Perform SMBG at least before meals and snacks, as well as occasionally after meals; at bedtime; before exercise and before critical tasks (eg, driving); when hypoglycemia is suspected; and after treating hypoglycemia until normoglycemia is achieved.
Is there evidence for the benefit of SMBG?
The evidence for a benefit of SMBG both in insulin-treated and noninsulin-treated patients with diabetes has been increasing in the last decade ( 13, 14 ). Laboratory-measured clinic plasma glucose may be affected by the specific circumstances under which the blood samples are drawn ( 15 ).
When to use SMBG in type 2 diabetes?
According to the International Diabetes Federation guideline Self-Monitoring of Blood Glucose in Non-Insulin Treated Type 2 Diabetes, SMBG should be performed to provide information on hypoglycemia and glucose excursions related to medications and lifestyle changes (10).
Which is an example of a structured SMBG study?
The STeP (Structured Testing Program) study in people with type 2 diabetes, as a useful example for a study on SMBG, demonstrated structured SMBG contributing significantly to the improvement in glycemic control and psychosocial functioning compared with enhanced usual care, including free blood glucose meters and strips ( 17, 18 ).
When is the best time to take a SMBG?
SMBG at least as often as insulin is being given. • After meal testing is usually done 2 hours after the start of a meal. • SMBG should be QID, pre-meal and bedtime, in order to assess previous dose, and to adjust next dose. Some patients find post-prandial checking can also be helpful.