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Research Letter
Less Is More
November 2016

Eliminating Routine Glucometer Readings in the Office SettingCorrecting a Foolish Consistency

Author Affiliations
  • 1Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina
JAMA Intern Med. 2016;176(11):1721-1722. doi:10.1001/jamainternmed.2016.5769

Although new, expensive diagnostic tests are attractive targets for critics of runaway health care costs, overall health care costs may be driven more by a high volume of more routine, less costly tests.1 Estimating blood glucose with a glucometer in patients with diabetes is a standard procedure in most primary care clinical settings.2 Routinely providing the busy clinician with a glucometer reading seems an efficient way of preparing for informed clinical decision making about diabetic management in the ambulatory setting. However, the routine tasks that are components of rooming the clinic patient are increasing in number.3 In the process of exploring how to make the rooming process more efficient, we examined the value of the glucometer test as a routine maneuver in the clinic.

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