Our blogger discusses potential issues your patients may face with self-monitoring of blood glucose and offers troubleshooting tips.
Happy 2017! Here’s to an even better year of continued growth and happiness!Self-monitoring of blood glucose (SMBG) provides the patient and health care team invaluable information on both long-term glucose trends and immediate feedback in times of rapidly increasing or decreasing readings.What if the picture that these tools give isn’t clear? I wanted to examine some potential issues that crop up with SMBG, and some potential troubleshooting tips.Â
1. National Institute of Diabetes and Digestive and Kidney Diseases. Sickle Cell Trait and Other Hemoglobinopathies and Diabetes: Important Information for Providers. https://www.niddk.nih.gov/health-information/health-topics/diagnostic-tests/sickle-cell-trait-other-hemoglobinopathies-diabetes/Pages/index.aspx. Accessed December 21, 2016.
If you see readings that end in the same numbers, such as an unusually high amount of readings that end in 5 or 0, consider that the patient may be fabricating his/her data.
You can check fructoasmine as an alternative to A1c, but this test only provides average glucose levels over a much briefer time.