Home' Australian Pharmacist : Australian Pharmacist June 2014 Contents Australian Pharmacist June 2014 I ©Pharmaceutical Society of Australia Ltd.
CONTINUING PROFESSIONAL DEVELOPMENT
1. SMBG in type 2 diabetes:
a) May improve the patient’s
understanding of the impact of diet,
exercise and medications on glycaemic
b) May support healthcare professionals
to provide patients with individually
tailored advice, titrate diabetes
medicines and optimise diabetes
c) Should not be used unless the patient is
treated with insulin.
d) a) and b).
2. The IDF recommendations for SMBG
in type 2 diabetes state:
a) SMBG is useful, regardless of how
patients and healthcare professionals
use the data.
b) All patients should SMBG every day.
c) SMBG should be considered as part of
ongoing diabetes patient education
to allow them to participate in their
d) Healthcare providers alone should
dictate the goals of SMBG.
3. With regards to structured SMBG,
which of the following statements is
a) Structured SMBG gathers blood glucose
data at random times, and utilises it to
make appropriate changes to lifestyle or
b) Structured SMBG requires that patients
know when and why to test blood
glucose, understand the meaning of the
reading, and are capable of using blood
glucose data to change lifestyle factors
such as diet or exercise.
c) Can provide data for diabetes pattern
d) a) and c).
4. Cheryl, 45, is participating in a
diabetes pattern management
service at your pharmacy. She has
completed structured SMBG over
the course of three days using the
Accu-Chek 360° View Tool, which has
identified a pattern of post-prandial
hyperglycaemia. Which of the
following statements is correct?
a) Post-prandial hyperglycaemia is never
related to carbohydrate intake, so asking
about Cheryl’s diet is not relevant.
b) Metformin specifically targets
c) It may be appropriate to recommend
that Cheryl’s GP consider introducing
a short-acting insulin to improve
d) All of the above.
• International Diabetes Federation –
Guideline on self-monitoring of blood
glucose in non-insulin treated type 2
diabetes. Available at: www.idf.org
• NHMRC – National Evidence Based
Guideline for Blood Glucose Control
in Type 2 Diabetes. Available at: www.
• The Australian College of Pharmacy
– The Pharmacy Professional Services
Process for Diabetes. Available at:
• Structured SMBG enhances self care in
type 2 diabetes; structured SMBG enables
patients to assess the effects of lifestyle
changes and medications on glycaemic
control, and empowers them to optimise
their diabetes management.
• The frequency and timing of structured
SMBG should be individualised based on
the patient’s treatment goals.
• Pharmacists are well placed to promote
the importance of SMBG for patients
with type 2 diabetes, and offer diabetes
pattern management as part of a diabetes
disease state management service.
Figure 1. Potential service model for a diabetes pattern management service
1. Malanda UL, Welsche LMC, Riphagen II, Dekker JM, Nijpel G,
Bot SDM. Self monitoring f blood glucose in patients with
type 2 diabetes mellitus who are no using insulin. Cochrane
Database of Sytematic Reviews 2012, Issue 1. Art. No.
CD005060. DOI: 10.1002/14651858.CD005060.pub3.
2. The Australian College of Pharmacy. The Pharmacy
Professional Services Process for Diabetes (PPSP). 2012. At:
3. Parkin C, Buskirk A, Hinnen D, Axel-Schweitzer M. Results
that matter: Structured vs. unstructured self-monitoring of
blood glucose in type 2 diabetes. Diabetes Res Clin Pract
4. Ong W, Chua S, Ng C. Barriers and facilitators to self-
monitoring of blood glucose in people with type 2 diabetes
using insulin: a qualitative study. Patient Prefer Adherence.
5. Australian Institute of Health and Welfare: How common
is diabetes? 2013. At: www.aihw.gov.au/how-common-is-
6. Australia Bureau of Statisitics: Prevalence of diabetes.
2011. At: www.abs.gov.au/ausstats/abs@.nsf/
7. Colagiuri S, Dickinson S, Girgis S, Colagiuri R. National
Evidence Based Guideline for Blood Glucose Control in Type
2 Diabetes. Diabetes Australia and the NHMRC, Canberra
8. MacIsaac R, Jerums G, Weekes A, Thomas M. Patterns of
glycaemic control in Australian primary care (NEFRON 8).
Internal Medicine Journal 2009;39:512–18.
9. Polonsky W, Fischer L, Schikman C, Hinnin D, Parkin C et al.
Structured self-monitoring of blood glucose significantly
reduces A1C levels in poorly controlled, noninsulin-treated
type 2 diabetes. Diabetes Care 2011;34:262–7 .
10. Polonsky W, Fischer. Self-monitoring of blood glucose in
noninsulin-using type 2 diabetes patients. Diabetes Care
11. Klonoff D, Blonde L, Cembrowski G, Chacra A, Charpentier G
et al. Consensus report: The current role of self-monitoring
of blood glucose in non-insulin-treated type 2 diabetes. J
Diabetes Sci Technol 2011;5(6):1529–48.
12. Chubb S, Van Minnen K, Davis W, Bruce D, Davis T. The
relationship between self-monitoring of blood glucose
results and glycated haemoglobin in type 2 diabetes:
The Fremantle Diabetes Study. Diabetes Res Clin Pract
13. French D, Wade A, Yudkin P, Neil H, Kinmonths A et
al.Self-monitoing of blood glucose changed non-insulin-
treated type 2 diabetes patients’ beliefs about diabetes
and self-monitoring in a randomised trial. Diabet Med
14. International Diabetes Federation. Guideline: Self-
monitoring of blood glucose in non-insulin treated type 2
diabetes. 2009. At: www.idf.org/webdata/docs/SMBG_EN2 .
15. Benhalima K, Mathieu C. The role of blood glucose
monitoring in non-insulin treated type 2 daibetes; what is
the evidence? Prim Care Diabetes 2012;6:179–85.
16. Parkin C, Hinnen D, Tetrick D. Effective use of structured
self-monitoring of blood glucose in type 2 diabetes:Lessons
from the STeP study. Clin Diabetes 2011;29:131–7 .
17. Krass I, Armour L, Mitchell B, Brillant M, Dienaar R et al.
The pharmacy Diabetes Care Program: assessment of a
community pharmacy diabetes service model in Australia.
Diabet Med 2007;24:677–83 .
18. Pharmaceutical Society of Australia. Essential ECPE: Type
2 diabetes (Part 1). Canberra: Pharmaceutical Society of
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