We appreciate the importance of self-monitoring of blood glucose for the management of type 1 or 2 diabetes.
However, not every person with type 2 diabetes requires regular self-monitoring of blood glucose and this causes confusion sometimes. Generally, there are guidelines set by the NHS about self-monitoring of blood glucose in people with diabetes. The full guidelines can be found on: www.nice.org.uk/guidance/ng28
In summary, the decision on whether a person with type 2 diabetes require self-monitoring of blood glucose and how frequently they should be testing depends on your individual circumstance: the medication you are taking, how well your blood glucose control is and the mutual decision between you and your prescriber as to whether you need regular blood glucose testing.
The NHS Camden and Islington Clinical Commissioning Group sets out local guidelines for prescribers to follow when initiating people with type 2 diabetes on self-monitoring of blood glucose.
According to these local guidelines:
1) People with type 2 diabetes on oral anti-diabetics, such as metformin or “glitazones” and gliptins:
a) With well controlled diabetes are not entitled to regular supply of test strips unless during a consolation between the patient and doctor or nurse and a mutual agreement is reached that testing is necessary
b) if an agreement is reached that testing is necessary, the patient can only have it on acute prescription and not on repeat. If the patient needs regular supply, they will have to make an appointment with the prescriber
2) People with type 2 diabetes who are on insulin injections in addition to their oral anti-diabetic tablets:
a) are entitled to test strips on repeat prescription if such an arrangement is reached between the prescriber and the patient.
If you have any concerns regarding this article or any other medication related queries, please contact the practice and ask for an appointment with our practice-based pharmacist, Mr Kwasi Baiden, who will be more than happy to discuss your medication with you.