insulin dose
self-adjustment; education on effects of life-style on blood glucose; coping with illness
and new situations; hypoglycaemia management and avoidance :
education on effects of diet and physical activity on blood glucose
assurance of satisfactory blood glucose control
coping with illness and new situations
insulin dose adjustment and hypoglycaemia management where relevant
Assess skills ( and meters if used ) yearly or if problems with self-monitoring
Evaluate reliability of self-test results ( if indicated ) by :
consistency with the results of glycated haemoglobin estimation
comparison with acute results obtained at consultation
review of the quality of self-test record diaries
Achieving
effective self-monitoring
Use :
for all people with Type 2 diabetes
blood reagent strips / meters, or self-urinalysis according to individual need
Provide appropriate training and regular review of technique
Recommend :
results are recorded ( with date and time )
different patterns of testing according to need :
urine glucose post-prandially 1-7 times a week if results consistently negative and glucose control targets met ( see
also : Blood
glucose control assessment levels )
blood glucose 1-4 times a day according to need if glucose control is deteriorating or if using insulin therapy ( see
also : Guide to Type 1 Diabetes, 1998 )
blood glucose 4-8 times a day during illness, life-style changes, in pregnancy
tests 1-2 h after meals and not just pre-prandially
testing to cope with variations in eating or activity
urine glucose testing if blood glucose monitoring is indicated but not possible, or if the patient does not wish to continue with it
