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Message: <blockquote data-quote="catherinecherub" data-source="post: 857515"><a href="http://www.nursinginpractice.com/article/self-monitoring-blood-glucose-levels" target="_blank">http://www.nursinginpractice.com/article/self-monitoring-blood-glucose-levels</a>This ongoing controversy led the prestigious journal Diabetes Care to issue an invitation to two authors with opposing views on the usefulness of SMBG in non-insulin taking type 2 patients to publish their arguments for and against. (12,13) Malanda the author of the most recent systematic review argued that there was no substantial evidence demonstrating that SMBG had a positive effect on reducing blood glucose levels in people with type 2 diabetes. Polonsky and Fisher provided an alternative explanation stating that implementing SMBG in unstructured ways was indeed a waste of resources but as part of structured educational package their evidence has demonstrated that those with suboptimal blood glucose control SMBG can be used in partnership with health care professionals to significantly improve blood glucose control.So this suggests that not only is SMBG useful for all those with type 1 diabetes and insulin requiring type 2 diabetes patients but also for individuals with type 2 diabetes who would like to use it as a way of monitoring their condition. Indeed Polonsky et al found that offering structured training not only to patients performing SMBG but also to their clinicians to help them understand how to support patients, may have enabled the very significant improvements reported. (8) The importance of providing meaningful education to people with type 2 diabetes not on insulin but who want to use SMBG is acknowledged in the NICE Guidance on type 2 diabetes. (14)</blockquote>

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