Self-monitoring of blood glucose in noninsulin-treated type 2 diabetes: an overview

Nanne Kleefstra1, Johanna Hortensius1, Kornelis JJ van Hateren1, Susan JJ Logtenberg1, Sebastiaan T Houweling2, Rijk OB Gans3, Henk JG Bilo11Diabetes Centre, Isala Clinics, Zwolle, The Netherlands; 2Langerhans Medical Research Group, The Netherlands; 3Department of Internal Medicine, University Medi...

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Autores principales:	Nanne Kleefstra, Johanna Hortensius, Kornelis JJ van Hateren, et al
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2009
Materias:	Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/35aa06ba3c97421f8dd7002b6f0e50e8
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spelling	oai:doaj.org-article:35aa06ba3c97421f8dd7002b6f0e50e82021-12-02T06:07:45ZSelf-monitoring of blood glucose in noninsulin-treated type 2 diabetes: an overview1178-7007https://doaj.org/article/35aa06ba3c97421f8dd7002b6f0e50e82009-09-01T00:00:00Zhttp://www.dovepress.com/self-monitoring-of-blood-glucose-in-noninsulin-treated-type-2-diabetes-a3528https://doaj.org/toc/1178-7007Nanne Kleefstra1, Johanna Hortensius1, Kornelis JJ van Hateren1, Susan JJ Logtenberg1, Sebastiaan T Houweling2, Rijk OB Gans3, Henk JG Bilo11Diabetes Centre, Isala Clinics, Zwolle, The Netherlands; 2Langerhans Medical Research Group, The Netherlands; 3Department of Internal Medicine, University Medical Center Groningen, Groningen, The NetherlandsIntroduction: The effectiveness of self-monitoring of blood glucose (SMBG) in noninsulin-treated patients with type 2 diabetes (T2DM) remains unclear. We aimed to review the trials investigating the effects of SMBG in this population.Methods: Medline was searched until June 29, 2009. Randomized controlled trials (RCTs) of at least 12 weeks&rsquo; duration were included. Data on the following aspects were gathered: patient and study characteristics, effects on HbA1c, quality of life and treatment satisfaction, and methodological quality.Results: The search revealed 9 original RCTs. These studies were very heterogeneous, and 5 were classified as of high quality. The studies with the best methodology did not show an effect of SMBG on HbA1c, the studies with the worst methodological quality did. Two out of the 4 studies that assessed quality of life showed a significant change in favor of the control group, 1 study showed a significant change in favor of SMBG.Discussion and conclusion: We found an inverse relation between study quality and efficacy of SMBG. At this moment, there is no basis for general use of SMBG in noninsulin-treated T2DM patients.Keywords: blood glucose self-monitoring, diabetes mellitus, type 2, blood glucose, hemoglobin A, glycosylated Nanne KleefstraJohanna HortensiusKornelis JJ van Haterenet alDove Medical PressarticleSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol 2009, Iss default, Pp 155-163 (2009)
institution	DOAJ
collection	DOAJ
language	EN
topic	Specialties of internal medicine RC581-951
spellingShingle	Specialties of internal medicine RC581-951 Nanne Kleefstra Johanna Hortensius Kornelis JJ van Hateren et al Self-monitoring of blood glucose in noninsulin-treated type 2 diabetes: an overview
description	Nanne Kleefstra1, Johanna Hortensius1, Kornelis JJ van Hateren1, Susan JJ Logtenberg1, Sebastiaan T Houweling2, Rijk OB Gans3, Henk JG Bilo11Diabetes Centre, Isala Clinics, Zwolle, The Netherlands; 2Langerhans Medical Research Group, The Netherlands; 3Department of Internal Medicine, University Medical Center Groningen, Groningen, The NetherlandsIntroduction: The effectiveness of self-monitoring of blood glucose (SMBG) in noninsulin-treated patients with type 2 diabetes (T2DM) remains unclear. We aimed to review the trials investigating the effects of SMBG in this population.Methods: Medline was searched until June 29, 2009. Randomized controlled trials (RCTs) of at least 12 weeks&rsquo; duration were included. Data on the following aspects were gathered: patient and study characteristics, effects on HbA1c, quality of life and treatment satisfaction, and methodological quality.Results: The search revealed 9 original RCTs. These studies were very heterogeneous, and 5 were classified as of high quality. The studies with the best methodology did not show an effect of SMBG on HbA1c, the studies with the worst methodological quality did. Two out of the 4 studies that assessed quality of life showed a significant change in favor of the control group, 1 study showed a significant change in favor of SMBG.Discussion and conclusion: We found an inverse relation between study quality and efficacy of SMBG. At this moment, there is no basis for general use of SMBG in noninsulin-treated T2DM patients.Keywords: blood glucose self-monitoring, diabetes mellitus, type 2, blood glucose, hemoglobin A, glycosylated
format	article
author	Nanne Kleefstra Johanna Hortensius Kornelis JJ van Hateren et al
author_facet	Nanne Kleefstra Johanna Hortensius Kornelis JJ van Hateren et al
author_sort	Nanne Kleefstra
title	Self-monitoring of blood glucose in noninsulin-treated type 2 diabetes: an overview
title_short	Self-monitoring of blood glucose in noninsulin-treated type 2 diabetes: an overview
title_full	Self-monitoring of blood glucose in noninsulin-treated type 2 diabetes: an overview
title_fullStr	Self-monitoring of blood glucose in noninsulin-treated type 2 diabetes: an overview
title_full_unstemmed	Self-monitoring of blood glucose in noninsulin-treated type 2 diabetes: an overview
title_sort	self-monitoring of blood glucose in noninsulin-treated type 2 diabetes: an overview
publisher	Dove Medical Press
publishDate	2009
url	https://doaj.org/article/35aa06ba3c97421f8dd7002b6f0e50e8
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Self-monitoring of blood glucose in noninsulin-treated type 2 diabetes: an overview

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