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Blood glucose self-monitoring: No benefit for non-insulin-dependent patients with type 2 diabetes
Date:1/7/2010

This release is available in German.

Contrary to the widely-held belief, there is no proof that non-insulin-dependent patients with type 2 diabetes benefit from glucose self-monitoring. Moreover, it remains unclear whether an additional benefit is displayed by the blood test compared to the urine test or vice versa, in other words, whether one or other of the tests might offer an advantage to patients. The current data are quantitatively and qualitatively inadequate: the few trials that are suitable for investigating these questions have not included or have insufficiently reported many outcomes important to patients. Owing to their short duration, it is also not possible to draw any conclusions on the long-term benefit of glucose self-monitoring. This is the conclusion of the final report of the Institute for Quality and Efficiency in Health Care (IQWiG), published on 14 December 2009.

Self-monitoring is well established in insulin-dependent patients

Anyone who injects insulin should check their blood glucose level regularly, so that they can regulate the insulin dose according to need - this is an established procedure for patients with type 1 or type 2 diabetes. However, it is unclear whether people with type 2 diabetes, who manage without insulin, also benefit from blood glucose self-monitoring. The Federal Joint Committee (G-BA) therefore commissioned IQWiG to assess the patient-relevant benefit of urine glucose and blood glucose self-monitoring when treating diabetes type 2 without insulin.

Self-monitoring should also contribute towards changes in lifestyle

Besides drug therapy, lifestyle, especially diet and exercise, also plays an important role in the treatment of type 2 diabetes. Many experts assume that blood glucose self-monitoring helps patients in adapting their lifestyle, because the measured v
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Contact: Dr. Anna-Sabine Ernst
info@iqwig.de
49-022-135-6850
Institute for Quality and Efficiency in Health Care
Source:Eurekalert

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