What are the ADA guidelines for self-monitoring of blood glucose (SMBG) frequency?

Updated: Oct 23, 2019
  • Author: Romesh Khardori, MD, PhD, FACP; Chief Editor: George T Griffing, MD  more...
  • Print
Answer

The 2013 ADA guidelines for SMBG frequency focus on an individual's specific situation rather than quantifying the number of tests that should be done. The recommendations include the following [7, 8] :

  • Patients on intensive insulin regimens – Perform SMBG at least before meals and snacks, as well as occasionally after meals; at bedtime; before exercise and before critical tasks (eg, driving); when hypoglycemia is suspected; and after treating hypoglycemia until normoglycemia is achieved.

  • Patients using less frequent insulin injections or noninsulin therapies – Use SMBG results to adjust to food intake, activity, or medications to reach specific treatment goals; clinicians must not only educate these individuals on how to interpret their SMBG data, but they should also reevaluate the ongoing need for and frequency of SMBG at each routine visit.


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!