Self monitoring of blood glucose SMBG is mandatory to adjust intensified insulin regimens such as basal-bolus regimens with insulin analogs or continuous subcutaneous insulin therapy with pumps. Patient education allows the efficacy of these tools, and there is an inverse relationship between the frequency of SMBG and HbA 1c levels in type 1 diabetic patients on intensified insulin therapy. American and French diabetes associations recommend at least three or four glucose determinations per day in type 1 diabetic patients, however, four to six determinations per day would probably be more efficient to reach glycemic goals. Technical and psychological limits to frequent blood glucose monitoring can lessen the efficacy of the treatment.
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Self-monitoring of blood glucose SMBG allows patients with diabetes to monitor their blood sugar levels, so as to adjust insulin doses and prevent hypoglycemia. The SMBG kit is at the heart of the therapeutic management of the patient and gives them certain autonomy. The SMBG kit can be divided into three stages: preparation, collection and reading.
It is performed using a lancing device equipped with a lancet, a test strip and a blood glucose meter. The manufacturing laboratory, approved according to current standards, guarantees these devices and most are refunded. Their use is subject to precise handling penetration depth and specific maintenance infectious clinical waste. The role of the pharmacist is of prime importance when issuing the first kit, but also in regular monitoring. Journal page Archives Contents list.
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