Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
SMBG by Dr Shahjada Selim
1. Dr Shahjada Selim
Assistant Professor
Department of Endocrinology
Bangabandhu Sheikh Mujib Medical University, Dhaka
Email: selimshahjada@gmail.com
Self Monitoring of Blood
Glucose
(SMBG)
2.
3.
4.
5.
6.
7.
8.
9.
10. Patients on multiple-dose insulin (MDI) or insulin
pump therapy should do SMBG B
Prior to meals and snacks
At bedtime
Prior to exercise
When they suspect low blood glucose
After treating low blood glucose until they are
normoglycemic
Prior to critical tasks such as driving
Possibly also post-prandially
American Diabetes Association Standards of Medical Care in Diabetes.
Glycemic targets. Diabetes Care 2016; 39 (Suppl. 1): S39-S46
Recommendations for glucose monitoring are summarized on three slides
Patients on multiple-dose insulin (MDI) or insulin pump therapy should do SMBG 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 This may mean testing 6-10 times per day, though individual needs vary. But at least in studies of children with type 1 diabetes, increased daily frequency of SMBG was significantly associated with lower A1C.
SMBG frequency and timing should be dictated by the patient’s specific needs and goals
SMBG is especially important for patients treated with insulin to monitor for and prevent asymptomatic hypoglycemia and hyperglycemia
[SLIDE]