Self-monitoring of blood glucose for people with type 2 diabetes: the need for better understanding

Diabetes increases a person’s risk of developing multiple health complications. But the risk of these can be significantly reduced by close control of blood glucose. Although directly monitoring glucose levels to inform adjustments in insulin levels is now a proven part of self-management for people with type 1 diabetes, the role of glucose monitoring for people with type 2 diabetes is less well established. Over the course of a person’s life with type 2 diabetes, priorities for self-management change to reflect a decreasing capacity to produce endogenous insulin, decreasing insulin sensitivity, and the demands of an increasingly complex medication regimen. Andrew Farmer explains why the need for routine self-monitoring of blood glucose should be individually considered for each person with type 2 diabetes during the progressive time course of his or her condition.
Self-monitoring of blood glucose, SMBG