Navigation Links
Questions Over Value of Glucose Monitoring for Non-insulin Using Diabetes Patients

A new study published on bmj.com today (Tuesday 26 June) questions the value of blood glucose monitoring among patients with well-controlled, non-insulin dependent (type 2) diabetes.

The research, being presented today at the American Diabetes Association Conference, suggests that current guidelines for self-monitoring among these patients should be reviewed.

Non-insulin dependent (type 2) diabetes usually develops in people over 40, especially when the person is overweight. In most cases, insulin injections are not needed. Instead, a combination of dietary measures, weight reduction, and oral medication controls the condition.

Self monitoring for type 2 diabetes is costly, but many doctors believe that it helps to control blood glucose levels and it is commonly recommended. Although some studies have suggested benefits, evidence of effectiveness is still inconclusive.

So Dr Andrew Farmer and colleagues set out to test whether self-monitoring can improve blood glucose control in non-insulin using patients compared with standard care.

They identified 453 non-insulin using type 2 diabetes patients from 48 general practices.

Patients were randomly assigned to one of three groups. The control group received standard care with three-monthly HbA1c measurements by a health professional (a measure of the amount of glucose attached to red blood cells).

The second group was given a meter with advice to contact their clinician for interpretation of results (less intensive self-monitoring), while the third group was given a meter and trained to interpret the readings and apply the results (more-intensive self monitoring).

At 12 months, there was no difference in HbA1c between the groups. There was also no evidence that intensity of monitoring was related to improvements in glucose control.

This trial provides no convincing evidence of an effect of blood glucose monitoring, with or without instruction, in improving glucose control compared with usual care, say the authors.

Routine self-monitoring of blood glucose for reasonably well-controlled non-insulin treated patients with type 2 diabetes appears to offer, at best, small advantages, is not well accepted, and the cost, effort and time involved in the procedures may be better directed to supporting other health-related behaviours, they add.

They suggest that current guidelines for the use of self-monitoring among these patients should be reviewed.


'"/>




Related medicine news :

1. New Study Questions Cannibalism As A Worldwide Selective Force
2. GAO Investigation Questions Validity of DNA Testing Kits
3. African-Americans Pose Less Questions To Treating Doctors
4. Study Of Twins May Solve Aging Questions
5. Research Questions Use of Sleep Meds for Patients with Apnea
6. A Study Questions the Effectiveness of High Speed Colonoscopies
7. NYC Mayor Raises Questions About Male Circumcision as HIV Prevention Method
8. NASA Gets Ready To Address Tough Questions
9. Ask Right Questions and Save Country from Further Healthcare Crisis: Michael Moore
10. NASA Gets Ready To Address Tough Questions
11. Questions Over Drugs to Prevent Heart Complications During Surgery
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:3/24/2017)... ... March 24, 2017 , ... Texas Physical Therapy ... be found at 9618 Huebner Road. The clinic is the group’s 7th location in ... and Dr. Ali Higgins, PT, will provide care from the clinic, which opened March ...
(Date:3/24/2017)... ... March 24, 2017 , ... In ... innovative EcoQube Frame vertical micro-veggies garden on Kickstarter . Surpassing the $100,000 ... – with nearly 2,000 consumers (and counting) already backing the campaign. , ...
(Date:3/24/2017)... , ... March 24, 2017 , ... The law firm ... Plains, N.Y., is pleased to announce Westchester resident Lauren C. Enea has joined the ... for the firm, will concentrate her practice in elder law, Medicaid planning and applications, ...
(Date:3/24/2017)... ... 2017 , ... Judy Buchanan, co-owner of Serenity Natural Health ... says, “I am passionate about sharing Reiki as a holistic, complementary therapy with ... time.” , A Certified Medical Reiki™ Master trained by Raven Keys Medical Reiki™ ...
(Date:3/24/2017)... ... March 24, 2017 , ... ... inspiring stories about real people of God in congregations across the United States. ... a Presbyterian minister ordained in 1964 who has served congregations in seven states ...
Breaking Medicine News(10 mins):
(Date:3/24/2017)... Research and Markets has announced the addition of the "Global ... report to their offering. ... The global wound care market was worth $24,482.9 million in 2015 ... 2016-2022 Among the various wound care products type, the advanced ... in 2015. Among the various applications, surgical wound segment held the largest ...
(Date:3/24/2017)... SHANGHAI , March 24, 2017 /PRNewswire/ ... organization providing high-quality and cost-effective drug development ... the pharmaceutical and biotechnology industry, announced today ... ShangPharma will be consolidating the ... Organizations (CMO) under Shanghai ChemPartner. These entities ...
(Date:3/24/2017)... Research and Markets has announced the addition of the ... report to their offering. ... The Deep Learning: Drug Discovery and Diagnostics Market, 2017-2035 ... market of deep learning solutions within the healthcare domain. Primarily driven ... a novel solution to generate relevant insights from medical data. ...
Breaking Medicine Technology: