PMID- 19934460
OWN - NLM
STAT- MEDLINE
DCOM- 20100217
LR  - 20151119
IS  - 1554-6063 (Electronic)
IS  - 0145-7217 (Linking)
VI  - 35
IP  - 6
DP  - 2009 Nov-Dec
TI  - Using meal-based self-monitoring blood glucose (SMBG) data to guide dietary 
      recommendations in patients with diabetes.
PG  - 1023-30
LID - 10.1177/0145721709349587 [doi]
AB  - The purpose of this article is to describe how self-monitoring of blood glucose 
      (SMBG) data is a useful tool for identifying and managing postprandial 
      hyperglycemia (PPHG). PPHG and postprandial glucose excursions occur frequently 
      in patients with diabetes even when hemoglobin A1C is controlled below 7.0%, and 
      convey increased risk of cardiovascular morbidity and mortality. Consequently, 
      effective management of diabetes must include control of postprandial glucose 
      levels. Postprandial plasma glucose (PPG) depends on the composition of meals, 
      specifically the amount of carbohydrates. Reduced-carbohydrate diets offer 
      short-term improvements in glycemic control and other metabolic parameters, but 
      await the support of long-term efficacy and safety studies. Glucose profiling and 
      paired-meal SMBG are useful tools for detecting PPHG and glucose excursions. They 
      provide immediate feedback to patients on the effect of foods and meals, thereby 
      allowing appropriate food and medication adjustments to improve postprandial 
      glycemic control.
FAU - Jovanovic, Lois
AU  - Jovanovic L
AD  - Sansum Diabetes Research Institute, 2219 Bath Street, Santa Barbara, CA 93105, 
      USA. ljovanovic@sansum.org
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Diabetes Educ
JT  - The Diabetes educator
JID - 7701401
RN  - 0 (Blood Glucose)
MH  - Blood Glucose/metabolism
MH  - *Blood Glucose Self-Monitoring
MH  - Diabetes Mellitus/*blood/epidemiology/rehabilitation
MH  - Diet, Carbohydrate-Restricted
MH  - Diet, Diabetic
MH  - Eating
MH  - Humans
MH  - Patient Education as Topic/*methods
MH  - Postprandial Period/*physiology
MH  - Prevalence
MH  - Self Care/*methods
MH  - United States/epidemiology
EDAT- 2009/11/26 06:00
MHDA- 2010/02/18 06:00
CRDT- 2009/11/26 06:00
PHST- 2009/11/26 06:00 [entrez]
PHST- 2009/11/26 06:00 [pubmed]
PHST- 2010/02/18 06:00 [medline]
AID - 35/6/1023 [pii]
AID - 10.1177/0145721709349587 [doi]
PST - ppublish
SO  - Diabetes Educ. 2009 Nov-Dec;35(6):1023-30. doi: 10.1177/0145721709349587.