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Updated on August 6, 2020

Diabetes Self-Monitoring

Self Monitoring of Blood Glucose (SMBG) is where patients with diabetes can measure their blood sugar by themselves using a Glucometer (glucose meter) at home.  Based on the readings, you can check and/or adjust your treatment as well as making changes to your diet, exercise and lifestyle (https://blog.teleme.co/2017/12/04/living-diabetes-can-prevent-diabetes-changing-lifestyle/) to achieve your goal of having good control.  Unfortunately, less than 30% of diabetics achieve their target value.

Click to view RighTest video on Blood Glucose Monitoring System

Keeping good sugar control has been shown to

Target Value for Type 2 Diabetes (ask your doctor for your own individual target)

  • HbA1c less than 6.5%
  • Fasting sugar between 4.4-7 mmol/l
  • 2 hours after meal less than 8.5 mmol/l

Frequency of SMBG

The frequency of self testing depends on your condition, glucose status, glucose goals and mode of treatment.  Do ask your doctor for your own individual schedule.  The schedule below is a general guide for most patients

TreatmentBreakfastLunchDinner
 BeforeAfterBeforeAfterBeforeBefore Bed
Diet ControlYESYES YES YES
Oral MedicationYESYES YES YES
InsulinYESYESYESYESYESYES

There are situations where you may need to do EXTRA TESTING and they include

  • Signs of hypoglycaemia (feeling dizzy, faint or sweating)
  • When you have fever or infection
  • When starting a new treatment or medication
  • Pregnancy

Recommended Clinical Monitoring Schedules

You are also recommended to see you doctor every 3-6 months to have regular body check up and blood tests to monitor your progress

MeasurementsInitial and Yearly3 monthly
WeightYESYES
Waist circumferenceYESYES
HeightYES
BMI (from weight & height)YES
Blood PressureYESYES
Fasting Blood GlucoseYESYES
HbA1cYESYES
CholesterolYES
TriglyceridesYES
CreatinineYES
UreaYES
e GFRYES
ASTYES
ALTYES
BilirubinYES
ProteinYES
UrineYES
ECGYES
Eye checkYES
Feet checkYESYES

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Disclaimer. TELEME blog posts contains general information about health conditions and treatments. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. The information is not advice and should not be treated as such. 

If you think you may be suffering from any medical condition, you should seek immediate medical attention from your doctor or other professional healthcare providers. You should never delay seeking medical advice, disregard medical advice, or discontinue medical treatment because of information on this website.

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