Self-monitoring of blood glucose in diabetes: From evidence to clinical reality in central and eastern europe - Recommendations from the international central-eastern european expert group

Leszek Czupryniak, László Barkai, Svetlana Bolgarska, Agata Bronisz, Jan Broz, Katarzyna Cypryk, Marek Honka, Andrej Janez, Mladen Krnic, Nebojsa Lalic, Emil Martinka, Dario Rahelic, Gabriela Roman, Tsvetalina Tankova, Tamás Várkonyi, Bogumił Wolnik, Nadia Zherdova

Research output: Contribution to journalReview article

27 Citations (Scopus)

Abstract

Self-monitoring of blood glucose (SMBG) is universally considered to be an integral part of type 1 diabetes management and crucial for optimizing the safety and efficacy of complex insulin regimens. This extends to type 2 diabetes patients on intensive insulin therapy, and there is also a growing body of evidence suggesting that structured SMBG is beneficial for all type 2 diabetes patients, regardless of therapy. However, access to SMBG can be limited in many countries in Central and Eastern Europe. A consensus group of diabetes experts from 10 countries in this region (with overlapping historical, political, and social environments) - Bulgaria, Croatia, Czech Republic, Hungary, Poland, Romania, Serbia, Slovakia, Slovenia, and Ukraine - was formed to discuss the role of SMBG across the spectrum of patients with diabetes. The group considered SMBG to be an essential tool that should be accessible to all patients with diabetes, including those with non-insulin-treated type 2 diabetes. The current article summarizes the evidence put forward by the consensus group and provides their recommendations for the appropriate use of SMBG as part of individualized patient management. The ultimate goal of these evidence-based recommendations is to help patients and providers in Central and Eastern Europe to make optimal use of SMBG in order to maximize the efficacy and safety of glucose-lowering therapies, to prevent complications, and to empower the patient to play a more active role in the management of their diabetes.

Original languageEnglish
Pages (from-to)460-475
Number of pages16
JournalDiabetes Technology and Therapeutics
Volume16
Issue number7
DOIs
Publication statusPublished - Jul 1 2014

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Endocrinology
  • Medical Laboratory Technology

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    Czupryniak, L., Barkai, L., Bolgarska, S., Bronisz, A., Broz, J., Cypryk, K., Honka, M., Janez, A., Krnic, M., Lalic, N., Martinka, E., Rahelic, D., Roman, G., Tankova, T., Várkonyi, T., Wolnik, B., & Zherdova, N. (2014). Self-monitoring of blood glucose in diabetes: From evidence to clinical reality in central and eastern europe - Recommendations from the international central-eastern european expert group. Diabetes Technology and Therapeutics, 16(7), 460-475. https://doi.org/10.1089/dia.2013.0302