Adherence to frequent blood glucose testing by patients with diabetes via self monitoring of blood glucose assumed critical importance as it enables both patients and their physicians to have a view on blood glucose profile. This is of utmost importance in patients treated by insulin and/ or agents with hypoglycaemic potencies. However, many patients dislike frequent traumatic blood glucose testing and find it too uncomfortable and even painful. This is especially the case in children and adolescents. For this reason patients not infrequently deny testing which may adversely affect the management of diabetes. To overcome the problem of traumatic finger pricking to test blood glucose, several non-truamatic devices for self monitoring of blood glucose, totally avoid piercing the skin, have been discovered and marketed and found their way to practical use. Can painless methods for self monitoring of blood glucose increase the adherence of patients with diabetes to blood glucose testing?
To overcome skin piercing and the traumatic manner of the traditional devices for blood glucose testing, painless devices for blood glucose monitoring have been invented. They are totally non-traumatic methods, avoid finger pricking and utilize glucose sensing through the skin, subcutaneous sensor, the lens of the eye, or the eye lid. Utilizing these devices, for their painless application and convenience may motivate patients with diabetes to adhere to frequent blood glucose testing which markedly improves their management of diabetes.
yes, its a valuable method but with great importance for some population like those with a frequent attack of hypoglycemia, patients with Type I diabetes Mellitus, or with poor glycemic control.
Dear Dr Laith G. Shareef. Thank you so much for your kindful contribution and reply. I fully agree with your wonderful comment with regard to the utmost importance of these non-invasive methods particularly for those with type 1 diabetes, frequent hypoglycaemic episodes, impaired awareness of hypoglycaemia and poor glycaemic control. Sincere gratitude.
Dear Salman K. Ajlan
The accurate and continuous monitoring of blood glucose for diabetic patients is essential for controlling their healthy state. So, Such painless instruments may increase the patient compliance with the frequent testing.
Regards
Dear Dr Yasser Fakri Mustafa. Really thank you so much for your wonderful contribution and reply. I do agree with your valuable comment regarding the importance of self monitoring of blood glucose in the management of diabetes.
Dear Dr Tahir A.M Omer. Thank you so much for your kindful contribution and reply. You amazing comment concerning factors influencing SMBG is gratefully acknowledged. Best regards.
It depends ,because; in general, non- invasive approaches suffer from relatively poor sensitivity and specificity to glucose, since the indirectly measured parameters may be affected from physiological factors other than glucose as well as from environmental or time-dependent factors such as temperature and blood pressure, respectively. However, utilizing parallel monitoring of more than one parameter using multi- sensor systems may improve the overall accuracy, since the combination of different factors provides a more comprehensive evaluation of blood glucose by covering various physical and chemical tissue parameters.
Kindly check https://www.researchgate.net/publication/5501703_Factors_Associated_With_Adherence_to_Self-Monitoring_of_Blood_Glucose_Among_Persons_With_Diabetes
Also check https://www.diabetesaustralia.com.au/PageFiles/763/UPdated%20GP%20guidelines.pdf
Absolutely yes. The non invasive methods will definitely increase the compliance of frequent testing in diabetic patients. The patients which require more frequent monitoring of blood sugars esp during hypoglycemia or before or after planning for a surgery or any other such situation will find it very beneficial. The methods should have sensitivity and specificity as otherwise they will be of not much help or use.
I think yes, the painless methods for self-monitoring of blood glucose increase the adherence of patients with diabetes to blood glucose testing.
Dear Dr Faraed Salman. Thank you so much for your kindful contribution and comment. Non-invasive methods for self monitoring of blood glucose that utilizes skin or subcutaneous glucose sensors measure glucose level in the interstitial fluid. Although, there is some time delay between interstitial fluid glucose and blood glucose, however the glucose results in either measurement are comparable. Therefore, these non-traumatic methods can be used as useful tools for blood glucose testing. Best regards.
Dear Dr Chinaza Godswill Awuchi. Really thank you so much for your kindful contribution and reply.
Dear Dr Ruqia Quansar. Really thanks a lot for your kindful contribution and reply. I do fully agree with your wonderful comment. Best regards
Dear Dr Isam Alkhalifawi. Really thank you so much for your kindful contribution and reply. I do agree with your wonderful opinion. Best regards.
It is a major reason for patients to adhere to self-examination and monitor their diabetes levels, especially women.
Dear Rasha Ibrahim Khalaf. Really thank you so much for your kindful contribution and comment. Best regards.
Diabetes is a chronic disorder. Thereby, from day to day experiences I can vouch that unless patient and his caregivers are empowered for self care approach treatment adherence is a real issue.
Dear Dr Sumanta Chakraborty. Really thank you so much for your kindful contribution and reply. I do agree with your valuable comment. Best regards
I think that, because patients in general usually tend to have examinations that are less painful, but for diabetics who need continuous, regular, and accurate monitoring, so they certainly the more the method used is less painful the more they want to use it because they know very well the importance of examination and continuous monitoring of blood sugar level for their health.
Yes ; I think so. Because testing for blood sugar provides useful information for diabetes management. It is helpful to
1. Monitor the effect of diabetes medications on blood sugar levels.
2. Identify blood sugar levels that are high or low.
Dear dr Manal Hadi Kanaan. Really thank you so much for your wonderful contribution and reply. I fully agree with your valuable comment .Sincere gratitude.
Dear Dr Lamia Al-Naama. Really thank you so much for your kindful contribution and reply. I do agree with your wonderful comment regarding the benefits of blood glucose testing in patients with diabetes.
It is a major reason for patients to adhere to self-examination and monitor their diabetes levels, especially women. Rasha Ibrahim Khalaf Agreed
Dear Dr Tanvir Singh. Really thank you so much for your wonderful contribution and comment. Kind regards
Latest technology encrypted in smartphone (1) and smart watch (2) can make the blood glucose monitoring even a painless, prick-less experience and will increase the compliance to self-glucose monitoring a pleasant experience.
1.Article Smartphone Based Non-Invasive Glucose Monitoring
2.Article A Fully Integrated and Self-Powered Smartwatch for Continuou...
Dear Dr Muhammad Yousuf. Thank you so much for your kindful contribution and reply. I fully agree with your opinion that new technologies can considerably increase the compliance of patients to self monitoring of blood glucose.
Why diabetic patients on insulin are not able to achieve the target glycemic control despite good compliance with self glucose monitoring?
Notwithstanding the ease and painless glycemic control tests available improving the compliance of testing, this does not always translate in to better glycemic control.
I have seen patients who would be very eager and sometimes obsessive about doing home glucose monitoring for themselves or their relatives, but when it comes to titrating the dose of insulin to achieve optimal glycemic targets, this is not done.
This phenomenon, patient's inertia, is one of the main reason why patients having good compliance to glucose monitoring are not achieving the target blood glucose levels in the short-term and HbA1c in the long term.
Dear Dr Muhammad Yousuf. Really thank you so much for your kindful contribution and reply. Indeed, your valuable and informative description of comment is highly appreciated. Sincere gratitude
Dear Dr Tanvir Singh. Really thank you so much for your kindful contribution and valuable comment. Best regards.
Dear ميسم شهاب Thank you so much for your kind contribution and answer. My sincere gratitude.
د.بيداء عبدالسلام مهدي.. شكري الجزيل وامتناني لمشاركتكم الطيبة وتعليقكم القيم حول الفوائد المرجوة من الطرق غير المؤلمة للفحص الذاتي لسكر الدم..مع فائق التقدير
The role of self-monitoring in both type-1 and -2 diabetes patients was bolstered by the DCCT and UKPDS studies, both of which demonstrated improved microvascular outcomes with better glycaemic control. Furthermore, the design of both studies allowed for self-monitoring in the intensive treatment limbs as a tool for assessing glycaemia and adjusting insulin doses.2,3 The volume of self-monitoring in the UK continues to increase; in England alone the cost of reagent strips for monitoring was £32.9 million for the fourth quarter of 2006 giving a projected annual cost in excess of £130 million.1
I totally agree with you, as we use painless non traumatic method of blood sugar monitoring this will increase compliance of pt.for testing of blood sugar.
Of course this painless test to be used should be reliable, and have high sensitivity & specifity.
Many patients check their blood sugar at home each day. But checking your blood sugar daily may not help you to manage your type 2 diabetes. This study found that people with type 2 diabetes who don't use insulin did not benefit from daily self-testing.Oct 20, 2021
https://www.pcori.org › does-daily-s...
Does Daily Self-Monitoring of Blood Sugar Levels Improve ... - PCORI
CGMs are emerging tools in the management of type 2 diabetes. The prime objective of this review is to find out if there is enough supporting evidence, suggesting that continuous glucose monitoring is more effective than self-monitoring of blood glucose (SMBG) in type 2 diabetes.Sep 12, 2019
https://www.ncbi.nlm.nih.gov › pmc
Continuous Glucose Monitoring Versus Self-monitoring of Blood ...
Benefits of self monitoring of blood glucose
Helps to determine which foods or diet are best for one's control. Helps inform the patient and doctor about how well the medication regime is working. Reduces anxiety about, and increases understanding of, hypoglycemia.
https://www.diabetes.co.uk › blood-...
Self Monitoring of Blood Glucose (SMBG) - Diabetes UK
The ADA recommends that these patients check blood glucose roughly six to 10 times per day at the following times: prior to meals and snacks, at bedtime, occasionally after meals, before exercise, when low blood glucose is suspected, after treating low blood glucose until normoglycemia is reached, and before critical ...Oct 16, 2019
https://www.uspharmacist.com › unl...
Unlocking the Full Potential of Self-Monitoring of Blood Glucose
CGM (including flash glucose monitoring) systems are safe and effective in both type 1 and type 2 diabetes and can improve quality of glycemic control, reduce risk of hypoglycemia, and permit selection of lower target levels for mean glucose and HbA1c.Jun 1, 2017
https://www.ncbi.nlm.nih.gov › pmc
Continuous Glucose Monitoring: A Review of Recent Studies ... - NCBI
Self-monitoring of blood sugar is an essential tool in managing the treatment plan and preventing the long-term complication of diabetes. It is crucial to regularly measure your blood sugar levels, to observe if you might have hyperglycemia, hypoglycemia or prediabetes symptoms.Nov 14, 2018
https://m.netmeds.com › post › imp...
Importance Of Self-Monitoring Blood Sugar - Netmeds.com
Self-monitoring lets you: Check the impact of different treatment elements on your blood glucose and make adjustments, if necessary. Complete the information provided by glycated hemoglobin (A1C). Identify, quickly treat and prevent hypoglycemia or hyperglycemia.
https://www.diabete.qc.ca › self-mo...
Self-Monitoring of Blood Glucose | Diabète Québec
Patients on intensive insulin regimens – Perform SMBG at least before meals and snacks, as well as occasionally after meals; at bedtime; before exercise and before critical tasks (eg, driving); when hypoglycemia is suspected; and after treating hypoglycemia until normoglycemia is achieved.
https://www.medscape.com › answers
What are the ADA guidelines for self-monitoring of blood glucose ...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4278646/,kindly check this link.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4074758/,u can follow this link.
https://www.dovepress.com/factors-associated-with-adherence-to-self-monitoring-of-blood-glucose--peer-reviewed-fulltext-article-PPA,this link may be helpful.
Dear Enas Tariq Khudir. Many thanks for your kind contribution and valuable reply with regard to self monitoring of blood glucose which I highly appreciate. My sincere gratitude.
Dear Dr Ruqaya Adnan Salih. Many thanks for your valuable reply regarding painless methods of self monitoring of blood glucose with which I fully agree. Such methods should be accurate, precise and reliable. My sincere gratitude
Dear Dr Faraed Salman. Many thanks indeed for your valuable contribution and comprehensive answers with regard to various aspects of self monitoring of blood glucose. My sincere gratitude.
Dear Dr Nawab Khan. Many thanks for your kind contribution and reply concerning self monitoring of blood glucose. My sincere gratitude.
I think A1C i s the best test for patient Patients who are not committed to time
Dear Dr Nooralhuda Alfatlawi The painful nature of finger pricking in self monitoring of blood glucose (SMBG) often results in loss of patient's adherence to SMBG. Instead, non-traumatic (painless) methods of SMBG, by avoiding finger pricking, represent a promising alternative to conventional traumatic SMBG for the sake to increases adherence of patients with diabetes for glucose testing. Many thanks for your valuable contribution. My sincere gratitude.
Definitely yes. We have scientific evidence for this, which clearly shows that patients who use CGM or FGM are characterized by better metabolic control than those who use SMBG. These systems have excellent performance and accuracy, and can therefore replace the SBGM in everyday life. Let us just hope that these innovative systems become more accessible to a wider group of patients because for the now the costs limit widespread use.
Article Continuous glucose monitoring: review of promising technologies
Dear Monika Klimek-Tulwin Yes Dr. I agree with your valuable answer. Many thanks for sharing valuable article that enriched the discussion. My sincere gratitude.
Dear Dr Salman K. Ajlan . Yes . See the following useful RG link: Article Continuous Glucose Monitoring Versus Self-Monitoring of Bloo...
Kindly see also the following very useful RG link: Article Continuous Glucose Monitoring: A Review of Recent Studies De...
Also check please the following good RG link: Article Role of Self-Monitoring of Blood Glucose in Glycemic Control
The following RG link is very useful: Article Self-Monitoring of Blood Glucose in Diabetes: From Evidence ...
Yes, definitely.
Please, see the following helpful link:
Article Self-Monitoring of Blood Glucose among Patients with Diabete...
Dear Dr Aref Wazwaz. Many thanks for your kind contribution and sharing valuable links regarding various aspects of glucose monitoring. My sincere gratitude.
Dear Dr. Jose Roberto Rasi. Many thanks for your kind contribution and sharing valuable link illustrating self monitoring of blood glucose. Best regards.
Dear Dr. S. M. Abe Kawsar. Many thanks for your kind words. Kind regards and best wishes.
Hello Salman K. Ajlan
My experience is that many patients try to avoid pain and inconvenience so this improves adherence a lot. Many have mentioned that this method has been proven to be scientifically successful with supportive literature - most recently in the comment by Jose Roberto Rasi ... I am surprised that more have not already mentioned the issues of pain and inconvenience...!
Anxiety about one's blood sugar control and state of health. The physical pain of finger pricking.