Diabetes  |  Type 2 Pathway - Self Management




Diabetes

Type 2 Pathway - Self Management

Overview

The Bay of Plenty District Health Board is in the process of commissioning providers in both the East and West of the Bay of Plenty to provide a diabetes self-management course. That process has been supported by the Bay Navigator Diabetes Working Group who developed this pathway.

The referral form for the patient self management course in the WBOP can be found below.
The referral form for EBOP will be added as soon as it is available.

WBOP self-management course referral form

Self-management blood glucose monitoring - when should patients check BMs?

The body of evidence on self-monitoring blood glucose (SMBG)by people with type 2 diabetes is conflicting and difficult to assessas a whole. Benefits of SMBG include:

  • Assisting to guide adjustment of insulin or other medication for patients and health practitioners.
  • Encouraging self-empowerment.
  • Promoting better self-management behaviours.

However, self-monitoring may fail to improve diabetes control and hasbeen associated with negative psychological outcomes in some studies.

Recommended use of self-management blood glucose

Medication used as treatment

Is SMBG recommended?

Insulin

Yes

Sulphonylureas

Yes.  If the patient is motivated they may benefit from routine SMBG to reduce risk of hypoglycaemia

Metformin and other oral hypoglycaemic agents

In general SMBG is not recommended, but there are specific occasions when SMBG may be considered for those:

  • At increased risk of hypoglycaemia
  • Experiencing acute illness
  • Undergoing significant changes in pharmacotherapy or fasting eg, during Ramadan
  • With unstable or poor glycaemic control (HbA1c >64 mmol/mol
  • Who are pregnant or planning pregnancy


Source: SIGN guideline 116 Management of Diabetes (2010)



Last updated : Wednesday, July 26, 2017
Next review date : Thursday, July 26,2018


Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.