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Self-monitoring of blood glucose in noninsulin-using type 2 diabetic patients: right answer, but wrong question: self-monitoring of blood glucose can be clinically valuable for noninsulin users

Authors: Polonsky, WH., Fisher, L.

Abstract

Given the importance of glycemic control in the development of diabetes complications, the plethora of tools now available to monitor the day-to-day trends in glycemia is remarkable. In this regard, self-monitoring of blood glucose (SMBG) has been considered a key component of patient management. Arguably, there remains almost universal agreement that SMBG should be available to all diabetic patients regardless of current treatment strategy. However, recently there have been reports that have challenged the current paradigm that all patients should use SMBG and concluded that SMBG for type 2 diabetic patients not on insulin may not be beneficial on glycemic control and must be weighed against the expense and inconvenience. In the counterpoint narrative following the contribution by Malanda et al., Drs. Polonsky and Fisher provide a compelling argument suggesting that while it is evident that implementing SMBG in unstructured ways without training patients and clinicians is likely to be a waste of resources, there are effective and powerful ways to use structured SMBG in insulin-naïve type 2 diabetic patients. -William T. Cefalu, MD Editor in Chief, Diabetes Care.

Source: https://pubmed.ncbi.nlm.nih.gov/23264290/

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BDI Monthly Events

September 10Case Consultation
September 10: BDI hosts the San Diego-wide, monthly case consultation meeting (for mental health professionals working in the field of diabetes). Contact us at info@behavioraldiabetes.org if you are in the greater San Diego area and would like further information about this program.
September 14T1D Meet-up
September 14: Time for another T1D meet-up! GrownupT1Ds, a wonderful nonprofit here in southern California, which organizes fun social events for adults with type 1 diabetes here in southern California. This next one will be at 2 pm at Altar Society Brewing & Coffee Co, 230 Pine Ave, Long Beach. This event is free, but space is limited. Please RSVP at www.grownupt1ds.org
September 27Scripps Presentation
September 27: Dr. Polonsky (BDI President), will be presenting The Power of Psych at Scripps Whittier Diabetes Institute’s 2025 Updates in Diabetes Management, in La Jolla (CA). See: https://www.scripps.org/events/2025-updates-in-diabetes-management-september-27-2025
September 10Case Consultation
September 10: BDI hosts the San Diego-wide, monthly case consultation meeting (for mental health professionals working in the field of diabetes). Contact us at info@behavioraldiabetes.org if you are in the greater San Diego area and would like further information about this program.
September 14T1D Meet-up
September 14: Time for another T1D meet-up! GrownupT1Ds, a wonderful nonprofit here in southern California, which organizes fun social events for adults with type 1 diabetes here in southern California. This next one will be at 2 pm at Altar Society Brewing & Coffee Co, 230 Pine Ave, Long Beach. This event is free, but space is limited. Please RSVP at www.grownupt1ds.org
September 27Scripps Presentation
September 27: Dr. Polonsky (BDI President), will be presenting The Power of Psych at Scripps Whittier Diabetes Institute’s 2025 Updates in Diabetes Management, in La Jolla (CA). See: https://www.scripps.org/events/2025-updates-in-diabetes-management-september-27-2025
September 10Case Consultation
September 10: BDI hosts the San Diego-wide, monthly case consultation meeting (for mental health professionals working in the field of diabetes). Contact us at info@behavioraldiabetes.org if you are in the greater San Diego area and would like further information about this program.
September 14T1D Meet-up
September 14: Time for another T1D meet-up! GrownupT1Ds, a wonderful nonprofit here in southern California, which organizes fun social events for adults with type 1 diabetes here in southern California. This next one will be at 2 pm at Altar Society Brewing & Coffee Co, 230 Pine Ave, Long Beach. This event is free, but space is limited. Please RSVP at www.grownupt1ds.org
September 27Scripps Presentation
September 27: Dr. Polonsky (BDI President), will be presenting The Power of Psych at Scripps Whittier Diabetes Institute’s 2025 Updates in Diabetes Management, in La Jolla (CA). See: https://www.scripps.org/events/2025-updates-in-diabetes-management-september-27-2025