1. Self Monitoring of Blood Glucose (SMBG)

3. WHAT IS THE IMPORTANCE?

4. SMBG tells immediate situation: Clarifies symptoms of high and low
SMBG helps you to decide about your insulin dose.
SMBG will let you know the impact of diet on your BG
SMBG tells you if the exercise helped you to reduce BG
SMBG shows patterns of glycemia: Which time of day is not under control

5. Hypoglycemia/Low blood sugar
Blood sugar levels <70mg/dl.

6. Testing Tips Wash hands in warm water Use all 10 fingers
Use the side of the finger rather than the tip
Keep test strips covered, dry and in packaging
Use sharps container for disposal
Don’t let test strips freeze or overheat

7. Components

8. IS IT THAT PAINFUL ????

9. STEPS
Blood drop to the strip
Attach a strip
Reading in few seconds

10. Alternative Site Testing
Sites include forearm, thigh and palm
Less painful due to less nerve supply
No difference in blood glucose between fingerstick and alternative sites
If hypoglycemia suspected, use fingerstick for testing

11. HOW MANY TIMES ????

12. At least 3 or more times per day in type 1 DM and pregnant patients on insulin.
SMBG in type 2DM on insulin at least once daily.
Special Occasions
Feasts
Illness
Exercise

13. RECORD KEEPING IMPORTANT

15. EXAMPLES

16. Urine Ketones
Increase Insulin dose
Immediate Referral

17. Glucose Ingestion
Reduce insulin dose