Self-monitoring of blood glucose in Type 2 diabetes: cross-sectional analyses in 1993, 1999 and 2009

Abstract

strips, and among non-insulin-treated patients this was commoner among women, younger people and less deprived groups. Conclusions: The numbers of reagent strips dispensed for SMBG has increased, and almost all insulin-treated patients receive strips. While few diet-treated patients receive strips, they are more extensively dispensed to those treated with oral agents. Given that SMBG is no longer routinely recommended in non-insulin treated patients, strategies to reduce unnecessary dispensing of reagent strips are needed.3

Self-monitoring of blood glucose as control tool in the different management contexts for Type 2 Diabetes Mellitus. What is its current role in non-insulin users?

“…The screening and selection process are shown in Figure 1, while Table 1 present the main characteristics of the studies included. n=1 062 Embase (523) Science Direct (23) PubMed (468) Scielo (2) Cochrane (1) Medline (45) Vaca-González et al (8) Excluded records 1 036…”

“…(40)(41)(42)(43) Self-monitoring of blood glucose in in insulin-treated type 2 diabetes mellitus Currently, SMBG is considered an essential component in the management of insulin-treated T2DM patients and its use is mandatory. (17,18) In this regard, Schnell et al (45) found that use of SMBG in these patients increased by 23% between 1993 and 2009. Also, there are many prospective and observational studies addressing the use of SMBG in insulin-treated T2DM patients.…”

Patterns of self‐monitoring of blood glucose in insulin‐treated diabetes: analysis of a Scottish population over time

“…The effect of deprivation on frequency of testing has been noted by several authors, in particular in type 2 diabetes, and is a concern given its potential to widen inequalities in diabetes outcomes . It is important that everyone who is treated with insulin and for whom SMBG may be beneficial has appropriate knowledge about testing recommendations and the practice of self‐monitoring .…”

“…Studies have shown a general increase in SMBG over the past two decades in the UK and elsewhere . Frequency of testing has increased, alongside increases in the numbers of those testing.…”

“…Frequency of testing has increased, alongside increases in the numbers of those testing. A study in Scotland identified an increase in the proportion of all people with type 2 diabetes carrying out any SMBG from 15.5% in 1993 to 29.8% in 2009 ; however, it is perhaps more important to assess the level of testing in patient groups for whom regular testing is specifically recommended. We therefore used a record‐linkage diabetes clinical information system in Tayside, Scotland, to investigate patterns and levels of SMBG among people with type 1 diabetes and those with type 2 diabetes treated with insulin.…”