The role of self-monitoring of blood glucose in patients treated with SGLT-2 inhibitors: a European expert recommendation

J Diabetes Sci Technol. 2014 Jul;8(4):783-90. doi: 10.1177/1932296814534366. Epub 2014 May 18.

Abstract

The role for the novel treatment approach of sodium-glucose cotransporter-2 (SGLT-2) in type 2 diabetes is increasing. Structured self-monitoring of blood glucose (SMBG), based on a less intensive and a more intensive scheme, may contribute to an optimization of SGLT-2 inhibitor based treatment. The current expert recommendation suggests individualized approaches of SMBG, using simple and clinically applicable schemes. Potential benefits of SMBG in SGLT-2 inhibitor based treatment approaches are early assessment of treatment success or failure, timely modification of treatment, detection of hypoglycemic episodes, assessment of glucose excursions, and support of diabetes management and education. The length and frequency of SMBG should depend on the clinical setting and the quality of metabolic control.

Keywords: SGLT-2 inhibitors; SMBG; hypoglycemia; self-monitoring of blood glucose; type 2 diabetes.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Blood Glucose Self-Monitoring*
  • Diabetes Mellitus / blood*
  • Diabetes Mellitus / drug therapy*
  • Humans
  • Hypoglycemia / blood
  • Hypoglycemia / chemically induced
  • Hypoglycemic Agents / therapeutic use*
  • Patient Education as Topic
  • Precision Medicine
  • Sodium-Glucose Transporter 2
  • Sodium-Glucose Transporter 2 Inhibitors*
  • Treatment Outcome

Substances

  • Hypoglycemic Agents
  • SLC5A2 protein, human
  • Sodium-Glucose Transporter 2
  • Sodium-Glucose Transporter 2 Inhibitors