Self-monitoring of blood glucose (SMBG) has very little effect on glycemic control in patients with type 2 diabetes who are not using insulin. In a review of data from 9 trials of SMBG involving 2324 participants, any effect on HbA1c levels was found to occur only in the first 6 months, during which time the HbA1c level decreased by 0.26% (95% confidence interval [CI], -0.39 to -0.13). Data from 2 trials involving 493 participants showed that the effect of SMBG was no longer significant at 12 months follow-up, with a decrease in HbA1c levels of 0.1% (95% CI, -0.3 to 0.04).The rest of us should stop being so stupid and refuse to pay for fat people's illnesses of choice.
Uriell L. Malanda, MD, and colleagues from the VU University Medical Center in Amsterdam reviewed 12 studies involving 3259 patients with diabetes who are not insulin-dependent. The results are published in the latest issue of the Cochrane Library. "Regular self-monitoring of blood glucose in non-insulin-treated patients has minimal impact on glycemic control, has no impact on general well-being or quality of life, and is rather expensive," Dr. Malanda explained in a press release. "Consequently, it does not add to a clinically relevant long-term benefit."
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Saturday, February 25, 2012
Self-Monitoring Not Helpful for Type 2 Diabetes
Too stupid not to overeat. Possibly too stupid to self-monitor.
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