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Blood Glucose Monitoring Expert Group and Best Practice Recommendation-FITTER BiG
Siew Pheng Chan1, Tri Juli Edi Tarigan2, Beena Bansal3
1Department of Medicine, University of Malaya Kuala Lumpur, Kuala Lumpur, Malaysia. spchan88@hotmail.com.
Summary
This study provides best practice recommendations for blood glucose monitoring (BGM) in diabetes management, emphasizing personalized strategies to improve accessibility and outcomes, especially in underutilized regions. It highlights the need for policy reforms and tailored approaches for effective diabetes care.
Area of Science:
- Endocrinology
- Diabetes Management
- Public Health
Background:
- Diabetes mellitus is a growing global health challenge, particularly in Asia.
- Blood glucose monitoring (BGM), including self-monitoring of blood glucose (SMBG) and continuous glucose monitoring (CGM), is crucial for diabetes management but underutilized due to various barriers.
Purpose of the Study:
- To synthesize expert insights and evidence to develop best practice recommendations for BGM.
- To address systemic, economic, and educational barriers hindering BGM utilization.
Main Methods:
- A targeted literature review across five thematic domains.
- A structured expert forum with clinicians from seven Asian countries.
- Analysis of monitoring practices, clinical decision-making, patient engagement, technology, and policy.
Main Results:
- Structured SMBG is recommended for non-insulin-treated type 2 diabetes; CGM for insulin-treated individuals and those at risk of hypoglycemia.
- Proper SMBG technique is vital to avoid inaccurate readings and injuries.
- Hybrid CGM/SMBG models and digital platforms offer pragmatic solutions but face scalability and regulatory challenges.
Conclusions:
- Policy reforms, including improved insurance coverage and public-private partnerships, are essential for BGM access.
- Personalized, context-specific monitoring strategies are advocated.
- The FITTER BiG framework provides BGM recommendations to complement existing guidelines.
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