Assessment and monitoring of metabolic control

Record-keeping

• It is common practice for a monitoring diary, logbook or some type of electronic memory device to be used to record patterns of glycemic control and adjustments to treatment
• The record book is useful at the time of consultation and should contain

• BG levels
• Time and date
• Insulin dosage
• Special events affecting glycemic control (e.g. illness, parties, exercise, menses, etc)
• Hypoglycemic episodes and description of severity

In many countries, facilities and equipment for monitoring are very expensive. However, it must be recognized by nations, states and health care providers that without accurate monitoring the risks of acute crises and long-term vascular and other damaging complications are greatly increased, leading to high levels of health costs and personal disability