Self-monitoring of blood glucose in noninsulin-treated diabetes : a systematic review : summary and conclusions of the SBU report

People with diabetes use test strips as a means to check their blood glucose levels. Systematic self-monitoring of blood glucose is necessary for successful insultin therapy aimed at controlling glucose. However, in patients with noninsulin-treated type 2 diabetes, the benefit of systematic self-mon...

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Corporate Author: Statens beredning för medicinsk utvärdering (Sweden)
Other Authors: Berne, Christian (Contributor)
Format: eBook
Language:English
Published: Stockholm Swedish Council on Health Technology Assessment (SBU) 2009, 2009
Series:SBU yellow report
Subjects:
Online Access:
Collection: National Center for Biotechnology Information - Collection details see MPG.ReNa
Summary:People with diabetes use test strips as a means to check their blood glucose levels. Systematic self-monitoring of blood glucose is necessary for successful insultin therapy aimed at controlling glucose. However, in patients with noninsulin-treated type 2 diabetes, the benefit of systematic self-monitoring has been called into question. This report reviews the scientific evidence for systematic self-monitoring of blood glucose with test sticks in patients with type 2 diabetes, but who are not receiving insulin therapy. The Swedish National Board of Health and Welfare commissioned the report to use as a basis for their national guidelines on diabetes care. SBU is producing three additional reports within the framework of the National Board of Health and Welfare's guidelines on diabetes -- patient education in managing diabetes, intensive glucose lowering therapy in diabetes, and dietary treatment of diabetes. Conclusions The scientific evidence does not show any benefits from systematic self-monitoring of blood glucose (SMBG) with test sticks in people with noninsulin-treated type 2 diabetes. Examples of specific situations where people with noninsulin-treated type 2 diabetes may have reason to use test sticks include symptoms of hypoglycemia, particularly in patients being treated with sulfonylurea agents and meglitinides. Self-monitoring may also be needed for other purposes, e.g., educational purposes in conjunction with changes in therapy or acute disease. A more restrictive use of test sticks in this patient group would reduce costs and would not increase medical risks
Item Description:English summary of complete report in Swedish: Egna mätningar av blodglukos vid diabetes utan insulinbehandling. 2009
Physical Description:1 PDF file (18 pages) illustrations
ISBN:9879185413317