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Published on: June 11, 2012
Self-monitoring of blood glucose: one STeP forward?
1GECKO Institute for Medicine, Informatics, and Economics, Heilbronn University, Heilbronn, Germany. wendelin.schramm@hs-heilbronn.de
Introduction:
In times of short health care budgets, reimbursement for self-monitoring of blood glucose (SMBG) in diabetes patients without insulin treatment is subject to debate. The Structured Testing Program (STeP) trial found a positive correlation of test frequency and improved hemoglobin A1c (HbA1c) levels in poorly controlled type 2 diabetes patients not treated with insulin.
Methods:
A structured literature search for other clinical studies reporting on SMBG frequency was performed.
Results:
There is scarce evidence: three trials, including STeP, noted a significant and relevant correlation between testing frequency and improved HbA1c levels (FA effect), whereas two studies did not. The comparability between the identified studies is problematic.
Conclusion:
Future research should consider correlations between testing frequency and level of glycemic control. More emphasis should be placed on a structured approach to use SMBG and to address adherence to testing and therapy.
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