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Recommendations
A
D
B
A
B
A
D
People with diabetes should be provided with structured education when diagnosed
and, afterwards, on a regular basis, depending on their needs which are to be revised
regularly.
Different learning techniques are recommended, adapted to their personal preferences
and integrated within their future everyday care.
Primary and specialized care teams should boost programs directly addressed to encourage
the patients’ participation, adapted to their preferences and aims and which
include contents related to their personal experiences.
DM 2 patients should be recommended to carry out self-management of the disease
by fostering the participation of the patient.
The components of self-management can vary; but, in general, it must include knowledge
of the disease (definition, diagnose, importance of good control), dietary and
pharmacological treatment, physical exercise, ways to approach complication, foot
self-care and SMBG with an adjustment of the treatment in selected patients.
It is highly recommended that group education for self-care be carried out by trained
professionals.
In our field, we recommend that these programs be carried out by the nursing staff,
both in primary and specialized care.
C SMBG is recommended for the diabetic patient using insulin to adjust insulin dose .
D
A
B
D CPG
The frequency of SMBG in insulin patients depends on the characteristics of the patient,
the aims to be achieved and the type of insulin.
SMBG is not recommended for non-insulin DM 2 patients with acceptable metabolic
control and for newly diagnosed patients.
In specific patients with inadequate glycemic control, SMBG can be offered within
an educational and self-management structured program with a regular follow-up. To
this end, the patient’s level of motivation, his abilities and preferences are to be taken
into consideration, as well as the frequency of hypoglycaemias, the type of medical
treatment used and the costs.
SMBG can be offered to non-insulinDM 2 patients in order to: provide information
on hypoglycaemias, assess glycemic control after changes in medical treatment or life
style and monitorize the changes during intercurrent diseases.
CLINICAL PRACTICE GUIDELINE ON TYPE 2 DIABETES 115