Structured testing may aid diabetes control

Despite the range of treatments available, the blood glucose of some patients with type 2 diabetes remains uncontrolled. A US study has investigated whether a structured testing program can improve control.

Thirty-four practices and 483 patients participated in the study. The structured program ran in 21 practices and involved 256 patients. The patients and staff were trained to use a glucose analysis system that plotted details of meals and test results. Patients in the intervention group were seen five times over a year. Before each visit they measured their blood glucose seven times on three consecutive days.

After 12 months, pre and post prandial blood glucose was significantly lower in the intervention group. The mean reduction in HbA1c was significantly greater than in the control group.

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There is debate over regular testing of blood glucose leading to better outcomes for patients with type 2 diabetes who are

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