Pattern management: Understanding SMBG results

The goal of structured SMBG activities and the pattern management process is better understanding and control. While the action you take depends on each patient and situation, consider the following talking points when reviewing SMBG results with patients and determining therapy and behaviour recommendations.

Nurse with patient

Hypoglycaemia

If your patient has frequent low or low-to-normal fasting or postprandial glucose, review their medications and lifestyle factors:

  • Try to figure out if drugs with a lower risk profile for hypoglycaemia should be considered
  • Talk about how to manage hypoglycaemic events and how to recognise the signs and onset of low glucose levels
  • Discuss non-medication-related factors that might lead to hypoglycaemic events, and ask them for feedback about their lifestyle and general health status and factors

Hyperglycaemia

If your patient has frequent hyperglycaemic glucose levels, talking points could include:

  • Educating them on the clinical consequences of frequent hyperglycaemia, such as on cardiovascular health
  • Reviewing medications that can cause hyperglycaemia
  • For patients with fasting/preprandial hyperglycaemia, discussing strategies for reducing glucose levels, such as regular exercise or dietary changes like reducing starches and sweets
  • For patients with postprandial hyperglycaemia, discussing strategies for choosing low glycaemic index foods, monitoring portion sizes during meals, and in some cases, carbohydrate intake.

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