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Dr Shahjada Selim
Assistant Professor
Department of Endocrinology
Bangabandhu Sheikh Mujib Medical University, Dhaka
Email: selimshahjada@gmail.com
Self Monitoring of Blood
Glucose
(SMBG)
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
THANK
S

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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)
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  • 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
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Notes de l'éditeur

  1. 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]