D Meetoo
Assessing glycaemic control: Self-monitoring of blood glucose
Meetoo, D; McAllister, G; West, A
Authors
G McAllister
A West
Abstract
Diabetes Mellitus is a chronic, lifelong metabolic disorder
characterized by an elevated blood glucose level resulting from an
absolute or relative shortage of insulin. Self-monitoring of blood
glucose (SMBG) has escalated over the years following the outcomes
of evidence demonstrating a strong correlation between tight blood
glucose control and the significant reduction of diabetes-related
complications. While glycosylated haemoglobin (HbA1c) measures
mean glycaemic exposure during the preceding 2-3 months, it does
not provide day-to-day changes in glucose levels. SMBG represents
an important adjunct to HbA1c because it distinguishes among
fasting, preprandial (before a meal) and postprandial (after a meal)
hyperglycaemia and provides immediate feedback about the effect
of food choices, activity and medication on glycaemic control.
The successful outcome of glycaemic control cannot be effectively
achieved without the input of the nurse. The nurse’s role is to identify
people with diabetes who are most likely to benefit from SMBG and
provide them with appropriate education, problem solving skills and
ongoing support.
Citation
Meetoo, D., McAllister, G., & West, A. (2011). Assessing glycaemic control: Self-monitoring of blood glucose. British Journal of Nursing, 20(15), 919-925
Journal Article Type | Article |
---|---|
Publication Date | Jul 1, 2011 |
Deposit Date | Nov 15, 2011 |
Journal | British Journal of Nursing |
Print ISSN | 0966-0461 |
Publisher | MA Healthcare |
Peer Reviewed | Peer Reviewed |
Volume | 20 |
Issue | 15 |
Pages | 919-925 |
Publisher URL | http://www.internurse.com/cgi-bin/go.pl/library/article.cgi?uid=85684;article=BJN_20_15_919_925;format=pdf |
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