Preprint / Version 1

Self-Monitoring of Blood Glucose as an Integral Part in the Management of People with Type 2 Diabetes Mellitus

Authors

  • Stefan Pleus Institut für Diabetes-Technologie, Forschungs- und Entwicklungsgesellschaft mbH an der Universität Ulm, Ulm, Germany
  • Guido Freckmann Institut für Diabetes-Technologie, Forschungs- und Entwicklungsgesellschaft mbH an der Universität Ulm, Ulm, Germany
  • Sebastian Schauer Institut für Diabetes-Technologie, Forschungs- und Entwicklungsgesellschaft mbH an der Universität Ulm, Ulm, Germany
  • Lutz Heinemann Science Consulting in Diabetes GmbH, Kaarst, Germany
  • Ralph Ziegler Diabetes Clinic for Children and Adolescents, Muenster, Germany
  • Linong Ji Peking University People’s Hospital, Peking, China
  • Viswanathan Mohan Dr. Mohan’s Diabetes Specialities Centre, Chennai, India
  • Luis Calliari Pediatric Endocrine Unit, Pediatric Department, Santa Casa School of Medical Department, Santa Casa School of Medical Sciences, Sao Paulo, Brazil
  • Rolf Hinzmann Roche Diabetes Care GmbH, Sandhofer Straße 116, 68305 Mannheim, Germany

Keywords:

Self-monitoring of blood glucose, Type 2 diabetes mellitus, Blood glucose monitoring systems, Accuracy, Diabetes management

Abstract

For decades, self-monitoring of blood glucose (SMBG) has been considered a cornerstone of adequate diabetes management. Structured SMBG can follow different monitoring patterns, and it results in improved glycemic control, reduced hypoglycemia, and a better quality of life of people with diabetes. The technology, usability, and accuracy of SMBG systems have advanced markedly since their introduction a few decades ago. Current SMBG systems are small and easy to use, require small (capillary) blood sample volumes, and provide measurement results within seconds. In addition, devices are increasingly equipped with features such as connectivity to other devices and/or digital diaries and diabetes management tools. Although measurement quality can come close to or equal that of the glucose monitoring systems used by healthcare professionals, several available SMBG systems still do not meet internationally accepted accuracy standards, such as the International Organization for Standardization 15197 standard. Reports from China, India, and Brazil based on local experience suggest that in addition of the accuracy issues of SMBG systems, other obstacles also need to be overcome to optimize SMBG usage. Nonetheless, adequate usage of SMBG data is of high relevance for the management of people with type 2 diabetes mellitus. Supplementary Information The online version contains supplementary material available at 10.1007/s13300-022-01254-8. Keywords: Self-monitoring of blood glucose, Type 2 diabetes mellitus, Blood glucose monitoring systems, Accuracy, Diabetes management

Author Biography

Viswanathan Mohan, Dr. Mohan’s Diabetes Specialities Centre, Chennai, India

Madras Diabetes Research Foundation, Chennai, India

Downloads