Assessment of Self Monitoring of Blood Glucose in Type 1 Diabetic Children and Adolescents: Practice and Perspective

Abstract

SUMMARY D iabetes mellitus is a group of metabolic diseases characterized by chronic hyperglycemia resulting from defects in insulin secretion, insulin action, or both. Metabolic abnormalities in carbohydrates, lipids, and proteins result from the importance of insulin as an anabolic hormone. Self monitoring blood glucose (SMBG) includes an measurement) as well as the interpretation of and responding to the readings (self-regulation). The frequency of (SMBG) is associated with improved HbA1c levels in patients with T1DM.This is thought to be due to both better insulin adjustment for food consumed, an improved ability to quickly correct out-of-target glucose values and early detection of lower glucose values prior to symptomatic hypoglycemia, especially during and post exercise. The number and regularity of SMBG should be individualized depending on availability of the equipment, type of insulin regimen, and ability of the patient to identify hypoglycemia, Fasting, preprandial targets, and postprandial targets for SMBG have been outlined in several guidelines. In view of these data, we measure patients’ compliance to self monitoring of blood glucose, identify factors an