User:Jaliyah brown
Self Monitoring of Blood Glucose (SMBG)
[edit]Creators: Jaliyah Brown and Briana Luker
[edit]The importance of performing SMBG and how often it should be performed.
[edit]Self monitoring of blood glucose provides a means to assess effectiveness of the management plan and assists the patient in self care decisions. Results of SMBG are useful in preventing hypoglycemia and hyperglycemia by adjusting drug therapy, diet therapy, and physical activity.
Infection control measures are needed for SMBG.
The chance of becoming infected from blood glucose monitoring process is reduced by handwashing before monitoring and by not reusing lancets. Instruct patients not to share their blood glucose monitoring equipment because infection can be spread by the lancet holder even when the lancet itself has been changed. Regular cleaning of the meter is critical for infection control. SMBG allows the patient to assess effects of exercise on glucose control and provides critical information to help patients who take insulin to exercise safely.
How often you perform blood glucose testing is up to your doctor to decide for you, but typical testing is either 4 times a day(once 30 minutes before breakfast, lunch, and dinner, and again at around bedtime). You can also test glucose twice a day(once 30 minutes before breakfast and 30 minutes before dinner).
Steps in performing a self monitoring blood glucose test
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- Be sure to start with clean hands, so wash thoroughly with warm water and soap.
- Insert the glucose testing strip into the glucose meter.
- Load the lancet to the lancing device (used to prick finger)
- Prick the end of any finger (be sure to prick on the side)
- Squeeze the end of the finger gently to release a small amount of blood.
- Hold the testing strip next to the blood.
- Wait for the result on the glucose meter and if sugar is too high, take insulin as prescribed. And if the sugar is too low eat about 15g of carbohydrates.
- *A normal serum glucose level should be between 70-100.*
References:
[edit]Medical-Surgical Nursing; 10th Edition Volume 2