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Clinical Trials Update
August 22/29, 2017

Home Monitoring Fails to Improve Glycemic Control

JAMA. 2017;318(8):690. doi:10.1001/jama.2017.10991

Self-monitoring of blood glucose (SMBG) provided no clinical benefit to patients with type 2 diabetes not treated with insulin according to a recent trial published in JAMA Internal Medicine. Clinicians should consider each patient’s clinical situation before recommending home glucose monitoring, the authors advised.

The 450 participants were randomized to 3 groups: no SMBG, once-daily SMBG, and once-daily SMBG with enhanced feedback messages delivered through their blood glucose meters. The participants’ average age was 61 years, they had had diabetes for an average of 8 years, and they had hemoglobin A1c levels higher than 6.5% but lower than 9.5%. Seventy-five percent already performed SMBG.