DOPS

Self Monitoring
Blood Glucose
 Blood glucose monitoring
(BGM) is a vital piece
of a comprehensive
management plan.

• Why blood glucose is monitored

• When blood glucose should be monitored
• How to perform a blood glucose check
• Required equipment

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 SMBG
as an integral part of the diabetes therapy

SMBG no SMBG
+ Increased awareness of disease, -
concern about complications

+ Patient adjusts daily routine -

according to BG values
+ More therapy adjustments -

+ More training/counselling by physician -

+ More attention from physician -

 Basic Steps
• Know the target range

• Check at times specified

• Immediate Action – Treatment to get back within

target range

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 When
❄ Fasting Blood Glucose
❄ Post-prandial Blood Sugar
❄ Blood sugar all the timei

❄ Fasting blood glucose level is blood

glucose which is examined in a state or
at least 8 hours without calories
❄ Post-prandial 2-hour blood glucose was
taken 2 hours after eating
HOW TO USE
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First step:
Do several blood glucose profiles within one week
Second step:
Visualise BG profiles to understand them
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250

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150

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Before 1½ -2 h Before 1½ -2 h Before 1½ -2 h Before
breakfast after lunch after dinner after sleep
breakfast lunch dinner
 Third step:
Modify lifestyle and determine effect on BG

Fourth step:

Maintenance by individual measurements per day

and BG profiles from time to time

(more tests if insulin treated, less intense if oral

drugs or diet)