Podcast
Questions and Answers
What is the recommended method for self-monitoring of blood glucose (SMBG)?
What is the recommended method for self-monitoring of blood glucose (SMBG)?
- Using a meter to read a test strip with a drop of blood from a finger prick (correct)
- Using a urine test to measure blood glucose levels
- Monitoring blood glucose levels through a breath test
- Measuring blood glucose levels through saliva samples
What is the purpose of SMBG for people with diabetes?
What is the purpose of SMBG for people with diabetes?
- To track cholesterol levels
- To individualize their treatment regimen and obtain optimal blood glucose control (correct)
- To replace the need for insulin injections
- To measure ketones levels in the blood
What can SMBG help detect and prevent in people with diabetes?
What can SMBG help detect and prevent in people with diabetes?
- Hypoglycemia and hyperglycemia (correct)
- Obesity
- High blood pressure
- Thyroid disorders
What are some features and benefits offered by meters available for SMBG?
What are some features and benefits offered by meters available for SMBG?
What is the normal range for glycated hemoglobin (A1C) for people with diabetes?
What is the normal range for glycated hemoglobin (A1C) for people with diabetes?
How often are sensors in a continuous glucose monitoring (CGM) system typically replaced?
How often are sensors in a continuous glucose monitoring (CGM) system typically replaced?
Where is the sensor of a continuous glucose monitoring (CGM) system inserted?
Where is the sensor of a continuous glucose monitoring (CGM) system inserted?
What do elevated levels of glycated hemoglobin (A1C) indicate?
What do elevated levels of glycated hemoglobin (A1C) indicate?
What do ketones in the urine signal for people with type 1 diabetes?
What do ketones in the urine signal for people with type 1 diabetes?
What is the purpose of a continuous glucose monitoring (CGM) system?
What is the purpose of a continuous glucose monitoring (CGM) system?
What is the measure of glucose control for the past 3 months?
What is the measure of glucose control for the past 3 months?
What does the purple color on a urine dipstick indicate?
What does the purple color on a urine dipstick indicate?
When should urine ketone testing be performed for patients with type 1 diabetes?
When should urine ketone testing be performed for patients with type 1 diabetes?
What is the target range for glycated hemoglobin (A1C) for people with diabetes?
What is the target range for glycated hemoglobin (A1C) for people with diabetes?
What is the lifespan of an individual red blood cell?
What is the lifespan of an individual red blood cell?
What is the newest type of continuous glucose monitoring (CGM) system?
What is the newest type of continuous glucose monitoring (CGM) system?
Which body part can be used as an alternative test site for blood glucose monitoring with most meters?
Which body part can be used as an alternative test site for blood glucose monitoring with most meters?
What are special lancing devices used for in self-monitoring of blood glucose?
What are special lancing devices used for in self-monitoring of blood glucose?
How do some blood glucose monitors calibrate readings to plasma values?
How do some blood glucose monitors calibrate readings to plasma values?
What is the percentage difference between plasma glucose values and whole blood glucose values?
What is the percentage difference between plasma glucose values and whole blood glucose values?
For whom is self-monitoring of blood glucose (SMBG) recommended?
For whom is self-monitoring of blood glucose (SMBG) recommended?
What is the recommended frequency of SMBG for most insulin-dependent patients?
What is the recommended frequency of SMBG for most insulin-dependent patients?
What are patients asked to keep to detect patterns in blood glucose levels?
What are patients asked to keep to detect patterns in blood glucose levels?
When should testing be done in relation to the peak action time of medication and meals?
When should testing be done in relation to the peak action time of medication and meals?
For what purpose may patients using intensive insulin therapy regimens be instructed in the use of algorithms?
For what purpose may patients using intensive insulin therapy regimens be instructed in the use of algorithms?
How long should baseline patterns be established by SMBG?
How long should baseline patterns be established by SMBG?
What is the recommended frequency of self-monitoring of blood glucose for most patients who require insulin?
What is the recommended frequency of self-monitoring of blood glucose for most patients who require insulin?
What is a common source of error in self-monitoring of blood glucose (SMBG)?
What is a common source of error in self-monitoring of blood glucose (SMBG)?
When should patients using intensive insulin therapy regimens be instructed to test their blood glucose at 3 am?
When should patients using intensive insulin therapy regimens be instructed to test their blood glucose at 3 am?
What is a key component of treatment for any intensive insulin therapy regimen?
What is a key component of treatment for any intensive insulin therapy regimen?
What is the purpose of patients keeping a record or logbook of blood glucose levels?
What is the purpose of patients keeping a record or logbook of blood glucose levels?
What is the recommended frequency of self-monitoring of blood glucose for patients not receiving insulin?
What is the recommended frequency of self-monitoring of blood glucose for patients not receiving insulin?
What is crucial for patients with diabetes to know about their blood glucose monitors and strips?
What is crucial for patients with diabetes to know about their blood glucose monitors and strips?
What is a factor affecting self-monitoring of blood glucose performance?
What is a factor affecting self-monitoring of blood glucose performance?
When are patients encouraged to test daily before and 2 hours after the largest meal of the day?
When are patients encouraged to test daily before and 2 hours after the largest meal of the day?
What is recommended for patients with type 2 diabetes during periods of suspected hyperglycemia or hypoglycemia?
What is recommended for patients with type 2 diabetes during periods of suspected hyperglycemia or hypoglycemia?
What is a condition for which self-monitoring of blood glucose is recommended?
What is a condition for which self-monitoring of blood glucose is recommended?
What role do nurses play in self-monitoring of blood glucose?
What role do nurses play in self-monitoring of blood glucose?
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Study Notes
Self-Monitoring of Blood Glucose (SMBG) in Diabetes Management
- Most meters are biosensors that can use blood from alternative test sites like the forearm
- Special lancing devices are available for patients with painful fingertips
- Blood glucose monitors approved for patient use in the home and some test strips calibrate blood glucose readings to plasma values
- Plasma glucose values are 10% to 15% higher than whole blood glucose values
- SMBG methods need to match the skill level and physical capabilities of patients
- Some meters can be used by patients with visual impairments and have audio components
- SMBG is recommended for patients with unstable diabetes, severe ketosis, or hypoglycemia
- Frequency of SMBG varies based on insulin therapy, with 2-4 times daily recommended for most insulin-dependent patients
- Patients are asked to keep a record or logbook of blood glucose levels to detect patterns
- Testing is done at peak action time of medication and before and after meals
- Patients using intensive insulin therapy regimens may be instructed in the use of algorithms for changing insulin doses
- Baseline patterns should be established by SMBG for 1 to 2 weeks
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