As per clinical guidelines from the American Diabetes Association, 2017 an average Type 2 diabetic patient should check for blood glucose daily. Whereas studies indicate that in India, average educated diabetes patient checks blood glucose approximately once in few weeks, or even lower than a month.

The fact is that this frequency needs to be improved upon as testing regularly is an investment to prevent those future losses. When we actively measure and monitor blood glucose levels, it allows corrective actions quickly – before diabetes develop complications ranging from failure of heart, kidney, eyes, feet and nervous system.

The solution is to adopt self-monitoring of blood glucose (SMBG), a home blood glucose test system, an instrument which helps diabetics to achieve and maintain their respective therapeutic goals. It is an essential tool in the optimal management of diabetes, especially for patients on insulin support. SMGB not only helps to keep blood sugar levels in check but also enables diabetics to know their blood sugar pattern: how it varies during the day, with eating out, with exercise, with illness etc.

It helps your doctor see how well your meals, activities, medicines and insulin are working and what action to take, to ensure your medication has maximum results. Also, it reduces anxiety about hypoglycemia, which is a too low blood glucose which might impose health risks like clumsiness, trouble talking, confusion, loss of consciousness, and seizures.

Usefulness of SMBG can be summarized in different forms of diabetes as following:

  1. Diabetics being treated with insulin need to do SMBG for administration of correct dose of insulin and detecting low blood sugar levels (hypoglycemia). The intensity of this monitoring will depend on the type of insulin regimen.

Consult your healthcare adviser for frequency of checks needed for managing your specific condition.

  1. For type 2 diabetes, SMBG is beneficial in management of disease for people with diabetes, who are undergoing adjustments in medication, nutrition and physical activity.
  2. For people with well controlled type 2 diabetes, who are on lifestyle modification or on oral drugs, SMBG helps in understanding their disease better and feel more in control.
  3. Women who are planning to become pregnant, but their diabetes is not adequately controlled to ensure that complications do not kick in.
  4. People experiencing worsening of diabetes, have infections, are traveling or are under stress or are entering a new life experience, like starting a new job or changing work hours.

But you need to remember that SMBG and testing HbA1c are not interchangeable. Both are a must for diabetic, SMBG provides information about day-to-day and intra-day changes in glucose levels, whereas HbA1c test is valuable in assessing long-term glycemic control.




  1. Doctors have many challenges to face as they are perennially surrounded by patients, diseases, hospital duties and over-extended or odd shift timings. Universally, doctor is considered to be a noble profession and respectable one at that, but a doctor also has to work under immense pressures, emotional strains and other physical challenges.

    A regular physician like most of us at some point face will have to deal with personal situations such as important family affairs, family holidays, sickness or pregnancy that may force them to abandon medical duties. At the same time, a hospital or a healthcare facility is also constantly faced with emergency situations that demand all hands on deck round-the-clock. Therefore, every hospital, clinic or nursing home is compelled to hire locum tenens or substitute doctor in order to keep the staffing under control at all times.

    In fact, locum doctors are the most valuable asset for the medical community because they provide quality medical care and act as a helping-hand in emergency situations when the medical facilities need them the most.

    Unlike regular or permanent doctors, locum doctor jobs are also ideal career options for medical interns and graduates because they offer a wide array of medical exposure in varied medical specialties, work cultures and healthcare systems. Locum jobs are challenging and flexible, thus an increasing number of medical professionals have benefitted from these jobs, so whether one is looking for a family physicians position or in a hospital or in a clinic, locum jobs for doctors are available at all levels and in different healthcare systems.

    In addition, being a locum doctor gives a medical professional the control over their working hours, location of work and choice of area of specialisation. Technically, locum positions are not restricted to general physicians but they are also extended to other fields of medical specialisations such as cardiology, neurology and many more.

    Travelling can be an integral part of locum jobs, and these distinctive features are a boon for many dedicated medical professionals who are eager to expand their medical careers with loads of multi-cultural medical experiences. The fact that locum agencies in the UK recruit tens of thousands of locums from across the globe in various NHS hospitals, private clinics, nursing homes and other public hospitals speaks volume of the popularity of locum jobs.

    Locating or getting a locum tenens job is a simple task as long as you are registered with one of the many reputable locum agencies. These agencies act as the middle man between locum tenens and medical facilities, and they also look after all the details pertaining to travel for locum tenens, accommodation and the nature of locum work.

    Thus, maintaining a healthy locum doctor-agency relationship benefits both the parties, and it also increases the probability of getting recommendable employment opportunities and businesses or vice-versa.

  2. ome people, especially those running on busy daily schedules tend to use the pills to help maintain weight since they can not afford to follow all the diet programs. This is not advised. It is recommended that one seek advice from a professional in this field before using the pills. This can save one from many dangers associated with the misuse.

    The diet pills should always be taken whole. Some people tend to divide the pills to serve a longer period of time. This is not advised and can lead to ineffectiveness. If it is required that one takes a complete tablet, it means that a certain amount of the ingredients are required to achieve the desired goal. It is also recommended that one does not crush the pill and dissolve it in beverages. Chemicals found in beverages have the potential of neutralizing the desired nutrients in the pill thereby leading to ineffectiveness. The best way to take the tablets is swallowing them whole with a glass of water.


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