When to Initiate Self Monitoring of Blood Glucose

Self blood-glucose monitoring (SBGM) should be instituted as soon as possible after diagnosis. Studies using fetal ultrasound (56,57) have shown that accelerated growth begins early in the third trimester so, to avoid fetal consequences, glycemic control should be obtained as soon as possible. In order to attain targeted goals, home SBGM is necessary. Initial therapy, MNT, requires blood-glucose monitoring four times daily, while women treated with insulin typically need to monitor at least six times per day. Care should be taken to give appropriate goals of therapy, since some reflectance meters are calibrated to plasma glucose values, while others reflect whole blood-glucose values.

The importance of SBGM is supported by a study of 153 women with GDM. These women were treated with intensive diet therapy and SBGM, with insulin therapy added only if therapeutic goals were not obtained. There was no difference in the birth weight or incidence of macrosomia between groups, showing that intensive dietary therapy with monitoring and insulin as needed can reduce macrosomia (58).

Diabetes 2

Diabetes 2

Diabetes is a disease that affects the way your body uses food. Normally, your body converts sugars, starches and other foods into a form of sugar called glucose. Your body uses glucose for fuel. The cells receive the glucose through the bloodstream. They then use insulin a hormone made by the pancreas to absorb the glucose, convert it into energy, and either use it or store it for later use. Learn more...

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