Type 2 Diabetics In Need Of Advice On Home Glucose Monitoring

August 31, 2007 at 7:16 PM Diabetes News
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Type 2 Diabetics In Need Of Advice On Home Glucose Monitoring
A new study in the online version of the British Medical Journal opines that better advice on home blood glucose monitoring is needed for patients with non-insulin dependent (type 2) diabetes. Some experts believe that daily self monitoring helps to control blood glucose levels and it is often recommended.

But others believe that self monitoring is complex and inconvenient and can lead to feelings of frustration and guilt. As such, there is still no firm agreement about the role and value of self monitoring for patients with type 2 diabetes.

So Dr Elizabeth Peel and colleagues interviewed 18 patients with newly diagnosed type 2 diabetes over four years to explore their views about self monitoring over time.

They found that self monitoring decreased over time, and those who did continue monitoring did so less frequently. Some patients expressed uncertainty about the meaning of the test results and how to act on them, while others found self monitoring to be reassuring.

How to act on high readings was a consistent problem.

Most patients also voiced concerns about the value health professionals placed on their readings. Doctors generally appeared to show little interest in patients’ test results after the initial phase, leading some patients to see self monitoring as not very important or even pointless.

Interestingly, some patients continued to self monitor despite lack of guidance and the perceived disinterest from health professionals.

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