Naseem Sohpal Lead Diabetes Specialist Nurse

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Presentation transcript:

Naseem Sohpal Lead Diabetes Specialist Nurse Optimising the effectiveness of Blood Glucose monitoring (SMBG) in Type 1 Diabetes Naseem Sohpal Lead Diabetes Specialist Nurse

Understanding SMBG Purpose and Value of SMBG Analysing and Interpreting results Deciding what action to take Taking Appropriate Action Enter footer here 01.08.2008

Identifying trends and patterns in blood glucose levels Think before changing insulin regimen Are there Patterns of highs, lows or both or isolated readings? changes in activity or usual routine? any periods of physical or emotional stress? any dietary changes? Mixed picture - hypoglycaemia followed by hyperglycaemia then lows take priority Enter footer here 01.08.2008

5 basic steps to manage blood glucose patterns (Pearson and Bergenstal 2002) Know the target pre and post prandial blood glucose range Gather the information needed Look for patterns Assess the influencing factors Address the cause of the problem and take prompt appropriate problem solving action Enter footer here 01.08.2008

Role of Carbohydrate counting Structured Education - DAFNE Flexible intensive insulin therapy/basal bolus Calculation of meal-time fast acting insulin dose Pre and Post-prandial readings Correction doses - these are important elements to achieving good glycaemic control . Enter footer here 01.08.2008

Summary To achieve effective glycaemic control in Type1 Diabetes Understand purpose of monitoring Analyse and interpret the results Consider effects of carbohydrates on BG levels Take appropriate action THANK YOU Enter footer here 01.08.2008