According to the recommendations of the "China Type 2 Diabetes Prevention and Treatment Guidelines 2017 Edition", the frequency of self-monitoring of blood glucose for diabetics is recommended as follows:
(1) People who are hospitalized due to very poor blood sugar control or critical illness should monitor blood sugar 4 to 7 times a day, or monitor blood sugar as needed for treatment;
(2) Patients who use lifestyle intervention to control diabetes can use blood glucose monitoring to understand the impact of diet control and exercise on blood sugar and adjust their diet and exercise as needed;
(3) People who use oral hypoglycemic drugs can monitor fasting or 2-hour postprandial blood glucose 2 to 4 times a week;
(4) People taking insulin therapy can perform corresponding blood sugar monitoring according to the insulin treatment plan:
Patients using basal insulin should monitor fasting blood glucose and adjust the dose of insulin before bedtime based on fasting blood glucose;
Those who use premixed insulin should monitor fasting and pre-dinner blood glucose, adjust the pre-dinner insulin dose based on fasting blood glucose, and adjust the pre-breakfast insulin dose based on pre-dinner blood glucose. After fasting blood glucose reaches the target, pay attention to monitoring postprandial blood glucose to optimize the treatment plan;
(5) For monitoring of special groups (perioperative patients, people at high risk of hypoglycemia, critically ill patients, elderly patients, type 1 diabetes, GDM, etc.), the above basic principles of blood glucose monitoring should be followed and an individualized monitoring plan should be implemented.
