Diabetes Research Group, Helmholtz Center, Munich-Neuherberg, Germany.
Diabetes Technol Ther. 2011 Sep;13(9):959-65. doi: 10.1089/dia.2011.0028. Epub 2011 Jun 29.
Self-monitoring of blood glucose (SMBG) in type 2 diabetes has increasingly been shown to display beneficial effects on glycemic control. SMBG is not only associated with a reduction of hemoglobin A1c but has also been demonstrated to increase patients' awareness of the disease. SMBG has also the potential to visualize and predict hypoglycemic episodes. International guidelines by the International Diabetes Federation, the European Society of Cardiology, and the European Association for the Study of Diabetes and also the International Society for Pediatric and Adolescent Diabetes emphasize that SMBG is an integral part of self-management. More recently, two European consensus documents have been published to give recommendations for frequency and timing of SMBG also for various clinical scenarios. Recently, a European expert panel was held to further facilitate and enhance standardized approaches to SMBG. The aim was to present simple, clinically meaningful, and standardized SMBG strategies for type 2 diabetes. The panel recommended a less intensive and an intensive scheme for SMBG across the type 2 diabetes continuum. The length and frequency of SMBG performance depend on the clinical circumstances and the quality of glycemic control. The expert panel also recommended further evaluation of various schemes for SMBG in type 2 diabetes in clinical studies.
自我血糖监测（SMBG）在 2 型糖尿病中的应用越来越多地显示出对血糖控制有益的效果。SMBG 不仅与血红蛋白 A1c 的降低有关，而且还提高了患者对疾病的认识。SMBG 还有潜力可视化和预测低血糖发作。国际糖尿病联合会、欧洲心脏病学会和欧洲糖尿病研究协会以及国际儿科和青少年糖尿病协会的国际指南强调，SMBG 是自我管理的一个组成部分。最近，两份欧洲共识文件已经发布，为各种临床情况提供了 SMBG 的频率和时间建议。最近，举行了一次欧洲专家小组会议，以进一步促进和加强 SMBG 的标准化方法。目的是为 2 型糖尿病提出简单、有临床意义和标准化的 SMBG 策略。专家组建议在 2 型糖尿病的连续体中采用非强化和强化 SMBG 方案。SMBG 的时间和频率取决于临床情况和血糖控制的质量。专家组还建议在临床研究中进一步评估 2 型糖尿病中各种 SMBG 方案。
