Recommendations: Glucose Monitoring (1)

Recommendations for glucose monitoring are summarized on three slides Slide 1 of 3 Patients on multiple-dose insulin (MDI) or insulin pump therapy should do SMBG at least prior to meals and snacks, occasionally postprandially, at bedtime, prior to exercise, when they suspect low blood glucose, after treating low blood glucose until they are normoglycemic, and prior to critical tasks such as driving (B) The frequency and timing of SMBG should be dictated by the particular needs and goals of the patient SMBG is especially important for patients treated with insulin to monitor for and prevent asymptomatic hypoglycemia and hyperglycemia The optimal frequency of SMBG for patients on nonintensive regimens, such as those with type 2 diabetes on basal insulin, is not known, although a number of studies have used fasting SMBG for patient or provider titration of the basal insulin dose34References American Diabetes Association. Standards of medical care in diabetes—2013. Diabetes Care 2013;36(suppl 1):S17.