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.
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