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Can self-monitoring blood glucose improve glycemic control?


Can self-monitoring blood glucose improve glycemic control?

I am reproducing an article along with discussion for your perusal and comments.

This study investigated the effect of self-monitoring of blood glucose on HbA1c (average blood glucose over last 3 months) in people with type 2 diabetes (T2D). It was determined that self-monitoring reduces HbA1c in the short-term, but not the long-term.

Treatment for T2D includes lifestyle changes (like diet and exercise), and medications that lower blood glucose. Control of blood glucose, measured by HbA1c levels, can prevent the complications of T2D. Self-monitoring involves regular ‘finger prick’ tests to measure the level of glucose in the blood. This may help reduce HbA1c, but the exact effect is still under investigation.

The study concluded that self monitoring of blood glucose leads to slight reductions in HbA1c in the short-term in patients with T2D. Those with high HbA1c appear to receive the greatest benefit.

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1.Walter Fleuristil Jul 06, 2018

Testing seven times a week have nothing to do with a useful self-monitoring. In self-monitoring, the person must know, at any moment, his sugar level so that these actions are well measured: before and after each meal, before and after any physical activity, when the person feels any physiopathological change, when getting awake and at bedtime. It's a minimum of four tests a day.Reply

•Walter Fleuristil Jul 06, 2018

otherwise, your 're not diabeticReply

•Walter Fleuristil Jul 06, 2018

for a diabetic, Blood glucose is subject to change at each 30 minute .. If after one hour your blood glucose is two time the normal and, if rapid action is not taken, important damage can occur. that could cause an morbide complication startup, as foot ulcer. so testing one time a day is absolutely not very secure .


•Ruth Jul 09, 2018

You are talking about "Type 1" diabetics. It seems unfair that "Type 2" even shares the same name, as it is totally different. Type 2 s are often told to test only 3 times a week (usually first thing in the morning, after fasting). And unless a Type 2 is on insulin (which is usually long-lasting, 24 hour insulin), they don't generally change or adjust their meds without seeing a doctor first, and having an Hb1Ac bloodtest. The dangerous and potentially deadly "hypo" rarely occurs in Type 2, with the main problem being always to lower blood sugar levels.Reply

2.Wisegirl61 Jul 06, 2018

I control everything I eat & when I take my blood I can see how the things I've eaten has affected my glucose and adjust my insulin & tabs accordingly. This seems to work well for me & doesn't restrict me too much.Reply

3.koihai Jul 08, 2018

Checking Blood sugar 7 times for just 10-14 days ,before breakfast(Fasting), after breakfast,before and after lunch,before and after dinner,before goiing to bed and if possible during night when you get up for washroom and carefully noting the diet ,every item put in mouth in a diary ,will definiytely help in understanding the food we eat and the sugar level it produces.One can make a list of food items which keep your Blood sugar in control and the Hb1ac.I have done this and I understand my food and my Blood xugar relation much better.I hope it helps.Reply

4.Jul 13, 2018

Excellent article . As mentioned ,finger blood check of sugar levels ate not true taking into consideration of residual sugar .

Can urine test provide a perfect medication for DM T 2 as in the case of antibiotics ?

1 Reply

I was tested blood sugar 6 times a day. I agree this is good thing , it gives awareness for the things, what u should eat or drink and what you shouldn't.

Also sugar level in your blood.

If blood sugar is more than 200 , then it comes in urine.

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