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-  2018 

Physicians’ Views of Self-Monitoring of Blood Glucose in Patients With Type 2 Diabetes Not on Insulin

DOI: 10.1370/afm.2244

Keywords: Self-monitoring of blood glucose (SMBG), glucose monitoring, home monitoring, glucometer, test strips, non–insulin-treated type 2 diabetes, insulin na?ve diabetes, HbA1c, evidence-based medicine

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Abstract:

This qualitative study examines to what extent and why physicans still prescribe self-monitoring of blood glucose (SMBG) in patients with non–insulin-treated type 2 diabetes (NITT2D) when the evidence shows it increases cost without improving hemoglobin A1c (HbA1c), general well being, or health-related quality of life. Semistructured phone interviews with 17 primary care physicians indicated that the majority continue to recommend routine self-monitoring of blood glucose due to a compelling belief in its ability to promote the lifestyle changes needed for glycemic control. Targeting physician beliefs about the effectiveness of self-monitoring of blood glucose, and designing robust interventions accordingly, may help reduce this practice

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