Self-Monitoring of Blood Glucose as Part of the Integral Care of Type 2 Diabetes

被引:40
作者
Boutati, Eleni I. [1 ,2 ]
Raptis, Sotirios A. [1 ,2 ,3 ]
机构
[1] Univ Athens, Sch Med, Dept Internal Med 2, Res Inst, GR-11527 Athens, Greece
[2] Univ Gen Hosp Attikon, Ctr Diabet, Athens, Greece
[3] Hellen Natl Ctr Res Prevent & Treatment Diabet Me, Athens, Greece
关键词
RECEIVING INSULIN; METABOLIC-CONTROL; GLYCEMIC CONTROL; COST-EFFECTIVENESS; PARALLEL-GROUP; MELLITUS; FREQUENCY; MULTICENTER; MANAGEMENT; EFFICACY;
D O I
10.2337/dc09-S312
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Results from landmark diabetes studies have established A1C as the gold standard for assessing long-term glycemic control. However, A1C does not provide "real-time" information about individual hyperglycemic or hypoglycemic excursions. Real-time information provided by self-monitoring of blood glucose (SMBG) represents an important adjunct to A1C, because it can differentiate fasting, preprandial, and postprandial hyperglycemia; detect glycemic excursions; identify hypoglycemia; and provide immediate feedback about the effect of food choices, physical activity, and medication on glycemic control. The importance of SMBG is widely appreciated and recommended as a core component of management in patients with type 1 or insulin-treated type 2 diabetes, as well as in diabetic pregnancy, for both women with pregestational type 1 and gestational diabetes. Nevertheless, SMBG in management of non-insulin-treated type 2 diabetic patients continues to be debated. Results from clinical trials are inconclusive, and reviews fail to reach an agreement, mainly because of methodological problems. Carefully designed large-scale studies on diverse patient populations with type 2 diabetes with the follow-up period to investigate long-term effects of SMBG in patients with type 2 diabetes should be carried out to clarify how to make the best use of SMBG, in which patients, and under what conditions.
引用
收藏
页码:S205 / S210
页数:6
相关论文
共 51 条
[11]   Self-monitoring in Type 2 diabetes mellitus: a meta-analysis [J].
Coster, S ;
Gulliford, MC ;
Seed, PT ;
Powrie, JK ;
Swaminathan, R .
DIABETIC MEDICINE, 2000, 17 (11) :755-761
[12]   Counterpoint: Self-monitoring of blood glucose in type 2 diabetic patients not receiving insulin: A waste of money [J].
Davidson, MB .
DIABETES CARE, 2005, 28 (06) :1531-1533
[13]   The effect of self monitoring of blood glucose concentrations on glycated hemoglobin levels in diabetic patients not taking insulin: A blinded, randomized trial [J].
Davidson, MB ;
Castellanos, M ;
Kain, D ;
Duran, P .
AMERICAN JOURNAL OF MEDICINE, 2005, 118 (04) :422-425
[14]   Does self-monitoring of blood glucose improve outcome in type 2 diabetes? The Fremantle Diabetes Study [J].
Davis, W. A. ;
Bruce, D. G. ;
Davis, T. M. E. .
DIABETOLOGIA, 2007, 50 (03) :510-515
[15]  
Estey A L, 1990, Diabetes Educ, V16, P291, DOI 10.1177/014572179001600408
[16]   The efficacy of self-monitoring of blood glucose in NIDDM subjects - A criteria-based literature review [J].
Faas, A ;
Schellevis, FG ;
vanEijk, JTM .
DIABETES CARE, 1997, 20 (09) :1482-1486
[17]   Impact of self monitoring of blood glucose in the management of patients with non-insulin treated diabetes: open parallel group randomised trial [J].
Farmer, Andrew ;
Wade, Alisha ;
Goyder, Elizabeth ;
Yudkin, Patricia ;
French, David ;
Craven, Anthea ;
Holman, Rury ;
Kinmonth, Ann-Louise ;
Neil, Andrew .
BMJ-BRITISH MEDICAL JOURNAL, 2007, 335 (7611) :132-136
[18]  
FONTBONNE A, 1989, DIABETES METAB, V15, P255
[19]   The impact of blood glucose self-monitoring on metabolic control and quality of life in type 2 diabetic patients - An urgent need for better educational strategies [J].
Franciosi, M ;
Pellegrini, F ;
De Berardis, G ;
Belfiglio, M ;
Cavaliere, D ;
Di Nardo, B ;
Greenfield, S ;
Kaplan, SH ;
Sacco, M ;
Tognoni, G ;
Valentini, M ;
Nicolucci, A .
DIABETES CARE, 2001, 24 (11) :1870-1877
[20]   Self-monitoring of blood glucose significantly improves metabolic control in patients with type 2 diabetes mellitus:: the Auto-Surveillance Intervention Active (ASIA) study [J].
Guerci, B ;
Drouin, P ;
Grangé, V ;
Bougnères, P ;
Fontaine, P ;
Kerlan, V ;
Passa, P ;
Thivolet, C ;
Vialettes, B ;
Charbonnel, B .
DIABETES & METABOLISM, 2003, 29 (06) :587-594