Bergman M, Felig P
Arch Intern Med. 1984 Oct;144(10):2029-34.
Self-monitoring of blood glucose levels has become popular due to the limitations in the use of urine testing for assessing the status of diabetes control. Furthermore, the recent emphasis on the importance of diabetes regulation entails that patients tailor the insulin doses based on blood glucose levels. This review discusses the methodology of capillary blood glucose monitoring and its application to insulin adjustments. When performed properly, self-monitoring is accurate, reliable, and effective. It can also be beneficial in detecting hypoglycemia and may have a positive psychological impact as well. The reduction in the frequency of office and laboratory visits makes self-monitoring potentially cost-effective. Although useful for a broad segment of the type I diabetic population and for an increasingly large number of individuals with type II diabetes, self-monitoring may have a limited role in patients with severe, irreversible complications.
由于尿液检测在评估糖尿病控制状况方面存在局限性，血糖水平的自我监测已变得流行起来。此外，最近对糖尿病管理重要性的强调要求患者根据血糖水平调整胰岛素剂量。本综述讨论了毛细血管血糖监测的方法及其在胰岛素调整中的应用。如果操作得当，自我监测是准确、可靠且有效的。它在检测低血糖方面也可能有益，并且可能产生积极的心理影响。减少门诊和实验室检查的频率使自我监测具有潜在的成本效益。尽管自我监测对广大I型糖尿病患者群体以及越来越多的II型糖尿病患者有用，但在患有严重、不可逆并发症的患者中可能作用有限。
