This Article Full Text Full Text (PDF) All Versions of this Article: 0145721709347601v1 35/6/915    most recent Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Scopus Google Scholar Articles by Parkin, C. G. Articles by Polonsky, W. H. PubMed PubMed Citation Articles by Parkin, C. G. Articles by Polonsky, W. H. Social Bookmarking                         What's this?

Effective Use of Paired Testing in Type 2 Diabetes

Practical Applications in Clinical Practice

From CGParkin Communications, Carmel, Indiana (Mr Parkin); Mid America Diabetes Associates, Wichita, Kansas (Ms Hinnen); College of Pharmacy, Washington State University, Pullman, Washington (Mr Campbell); Geil Nutrition Communications, Lexington, Kentucky (Ms Geil); Internal Medicine Associates of Indianapolis, Indianapolis, Indiana (Dr Tetrick); and University of Southern California San Diego, Behavioral Diabetes Institute, San Diego, California (Dr Polonsky).

Correspondence to Christopher G. Parkin, MS, CGParkin Communications, 11360 Royal Court, Carmel, IN 46032 (cgparkin{at}aol.com).

Purpose

The purpose of this article is to discuss practical approaches to the use of self-monitoring of blood glucose (SMBG) in clinical practice using paired glucose testing. A rationale for SMBG use and innovative tools for data collection and analysis are presented.

Method

Health care professionals from various medical specialties collaborated to review current evidence regarding the value and utility of SMBG and to formulate professional opinions regarding use of SMBG. The literature review included key SMBG studies from 2002 through 2009. Established guidelines, position papers, and other evidence were also reviewed for this report. Reference Manager Software was used to search ISI Web of Science, PubMed, and Z39.50 site databases.

Results

Although the utility of SMBG in non–insulin-treated type 2 diabetes remains controversial, a recent report from the International Diabetes Federation recommends SMBG use in this population if it is used to educate/motivate individuals and/or monitor and adjust therapy. Health care providers must develop strategies to use SMBG in ways that address these criteria.

Conclusions

Paired SMBG (testing before/after specific events) promotes diabetes knowledge and self-management skills and facilitates assessment of the impact of behavioral changes, medical nutrition therapy, and pharmacologic interventions on glycemic levels. New tools have been developed to assist in using paired testing in clinical practice.

This version was published on November 1, 2009

The Diabetes Educator, Vol. 35, No. 6, 915-927 (2009)
DOI: 10.1177/0145721709347601


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?