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Using meal-based self-monitoring blood glucose (SMBG) data to guide dietary recommendations in patients with diabetes.
Diabetes Educ. 2009 Nov-Dec; 35(6):1023-30.DE

Abstract

The purpose of this article is to describe how self-monitoring of blood glucose (SMBG) data is a useful tool for identifying and managing postprandial hyperglycemia (PPHG). PPHG and postprandial glucose excursions occur frequently in patients with diabetes even when hemoglobin A1C is controlled below 7.0%, and convey increased risk of cardiovascular morbidity and mortality. Consequently, effective management of diabetes must include control of postprandial glucose levels. Postprandial plasma glucose (PPG) depends on the composition of meals, specifically the amount of carbohydrates. Reduced-carbohydrate diets offer short-term improvements in glycemic control and other metabolic parameters, but await the support of long-term efficacy and safety studies. Glucose profiling and paired-meal SMBG are useful tools for detecting PPHG and glucose excursions. They provide immediate feedback to patients on the effect of foods and meals, thereby allowing appropriate food and medication adjustments to improve postprandial glycemic control.

Authors+Show Affiliations

Sansum Diabetes Research Institute, 2219 Bath Street, Santa Barbara, CA 93105, USA. ljovanovic@sansum.org

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19934460

Citation

Jovanovic, Lois. "Using Meal-based Self-monitoring Blood Glucose (SMBG) Data to Guide Dietary Recommendations in Patients With Diabetes." The Diabetes Educator, vol. 35, no. 6, 2009, pp. 1023-30.
Jovanovic L. Using meal-based self-monitoring blood glucose (SMBG) data to guide dietary recommendations in patients with diabetes. Diabetes Educ. 2009;35(6):1023-30.
Jovanovic, L. (2009). Using meal-based self-monitoring blood glucose (SMBG) data to guide dietary recommendations in patients with diabetes. The Diabetes Educator, 35(6), 1023-30. https://doi.org/10.1177/0145721709349587
Jovanovic L. Using Meal-based Self-monitoring Blood Glucose (SMBG) Data to Guide Dietary Recommendations in Patients With Diabetes. Diabetes Educ. 2009 Nov-Dec;35(6):1023-30. PubMed PMID: 19934460.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Using meal-based self-monitoring blood glucose (SMBG) data to guide dietary recommendations in patients with diabetes. A1 - Jovanovic,Lois, PY - 2009/11/26/entrez PY - 2009/11/26/pubmed PY - 2010/2/18/medline SP - 1023 EP - 30 JF - The Diabetes educator JO - Diabetes Educ VL - 35 IS - 6 N2 - The purpose of this article is to describe how self-monitoring of blood glucose (SMBG) data is a useful tool for identifying and managing postprandial hyperglycemia (PPHG). PPHG and postprandial glucose excursions occur frequently in patients with diabetes even when hemoglobin A1C is controlled below 7.0%, and convey increased risk of cardiovascular morbidity and mortality. Consequently, effective management of diabetes must include control of postprandial glucose levels. Postprandial plasma glucose (PPG) depends on the composition of meals, specifically the amount of carbohydrates. Reduced-carbohydrate diets offer short-term improvements in glycemic control and other metabolic parameters, but await the support of long-term efficacy and safety studies. Glucose profiling and paired-meal SMBG are useful tools for detecting PPHG and glucose excursions. They provide immediate feedback to patients on the effect of foods and meals, thereby allowing appropriate food and medication adjustments to improve postprandial glycemic control. SN - 1554-6063 UR - https://www.unboundmedicine.com/medline/citation/19934460/Using_meal_based_self_monitoring_blood_glucose__SMBG__data_to_guide_dietary_recommendations_in_patients_with_diabetes_ L2 - https://journals.sagepub.com/doi/10.1177/0145721709349587?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -