Objective: To determine whether home blood glucose monitoring as used by non-insulin-dependent diabetes mellitus patients followed in primary care nonresearch clinics improves glycemic control or reduces utilization of the outpatient laboratory.
Design: A retrospective chart reviewfor 229 patients receiving outpatient supplies for home testing of either blood or urine.
Setting: A variety of nonresearch clinics at a Veterans Affairs Medical Center, a teaching hospital affiliated with an academic university medical center.
Patients: Outpatient veterans followed in diabetes, primary care, internal medicine, or endocrine clinics.
Measurements and main results: The mean glycosylated hemoglobin for an unselected group monitoring glycemic control by urine testing only was 11.32% and for those using blood monitoring was 11.37%. Frequency and duration of monitoring had no apparent impact on glucose control. There was no decrease in the utilization of the laboratory among those patients practicing home blood glucose monitoring.
Conclusions: For non-insulin-dependent diabetic patients followed in a nonresearch clinic setting, the benefits of home blood glucose monitoring remain to be proven.
American Diabetes Associations. Consensus statement on self-monitoring of blood glucose. Diabetes Care. 1990;13:41–6.CrossRefGoogle Scholar
Chandler PT, Chandler SA. Outpatient self-management of severe diabetes. South Med J. 1981;74:1061–4.PubMedGoogle Scholar
Schiffrin A, Belmonte M. Multiple daily self-glucose monitoring: its essential role in long-term glucose control in insulin-dependent diabetic patients treated with pump and multiple subcutaneous injections. Diabetes Care. 1982;5:479–84.PubMedCrossRefGoogle Scholar
Warner MW. Efficacy of home glucose monitoring in diabetic pregnancy. Am J Med. 1983;75:592–6.CrossRefGoogle Scholar
Mann NP, Noronha JL, Johnston DI. A prospective study to evaluate the benefits of long-term self-monitoring of blood glucose in diabetic children. Diabetes Care. 1984;7:322–6.PubMedCrossRefGoogle Scholar
Lam KSL, Ma JTC, Chan EYM, Yeung RTT. Sustained improvement in diabetic control on long-term self-monitoring of blood glucose. Diabetes Res Clin Pract. 1986;2:165–71.PubMedCrossRefGoogle Scholar
Sonsken PH, Judd SL, Lowy C. Home monitoring of blood-glucose. 1978;1:730–2.Google Scholar
Mazze RS, Shamoon H, Pasmantier R, Lucido D, Murphy J. Reliability of blood glucose monitoring by patients with diabetes mellitus. Am J Med. 1984;77:211–7.PubMedCrossRefGoogle Scholar
Wing RR, Epstein LH, Nowalk MP, Scott N, Koeske R, Hagg S. Does self-monitoring of blood glucose levels improve dietary compliance for obese patients with type II diabetes? Am J Med. 1986;81:830–6.PubMedCrossRefGoogle Scholar
Newman WP, Laqua D, Engelbrecht D. Impact of glucose self-monitoring on glycohemoglobin values in a veteran population. Arch Intern Med. 1990;150:107–10.PubMedCrossRefGoogle Scholar
Worth R, Home PD, Johnston DG, et al. Intensive attention improves glycaemic control in insulin-dependent diabetes without further advantage from home blood glucose monitoring: results of a controlled trial. BMJ. 1982;285:1233–40.PubMedCrossRefGoogle Scholar
Allen TB, De Long ER, Feussner JR. Impact of glucose self-monitoring on non - insulin-treated patients with type II diabetes mellitus. Diabetes Care. 1990;13:1044–50.PubMedCrossRefGoogle Scholar