1. Pattern Recognition Ver D/sv/04.09.2013

2. What Is Pattern Management ? A systematic approach to making effective use of SMBG data. – Establishing pre- and postprandial glucose targets – Obtaining data – Analyzing data – Assessing the impact of therapeutic changes SMBG= self-monitored blood glucose Parkin CG, Davidson JA. J Diabetes Sci Technol. 2009 May 1;3(3):500–508. (Parkin & Davidson p503 col 2 para 3)

3. A Quick Approach to Analysis Rodbard D. J Diabetes Sci Technol. 2007 Jan;1(1):62–71. 5 Quick Questions to consider: What are the major problems that need to be addressed? (eg, hypoglycemia; hyperglycemia) Is the overall level of control viewed in terms of SMBG consistent with the measured value of HbA1c? Is there excess variability in any groups of measurements? How does glycemic control vary with date, time of day, and day of the week? Are there sufficient SMBG data available to perform an analysis? (frequency; time of day)

4. Actions to Reduce Variability Rodbard D. J Diabetes Sci Technol. 2007 Jan;1(1):62–71. A General Strategy to Reduce Variability in Blood Glucose Step 1.Address New Changes 2.Address Lifestyle 3.Optimize Treatment 4.Correct Diet 5.Planning 6.Reduce mean value through intensification of therapy

5. Rodbard D. J Diabetes Sci Technol. 2007 Jan;1(1):62–71.