To test or not to test: Blood glu­cose mon­i­tor­ing for pa­tients with type 2 di­a­betes

Wellness Update - - Contents -

CHAPEL HILL, N.C. – The Pa­tient-Cen­tered Out­comes Re­search In­sti­tute (PCORI) has ap­proved a $2 mil­lion re­search award to the Univer­sity of North Carolina School of Medicine to study the role of glu­cose mon­i­tor­ing in pa­tients with type 2 di­a­betes us­ing oral med­i­ca­tions. The three-year pro­ject will fo­cus on as­sess­ing the im­pact of three dif­fer­ent types of blood sugar or glu­cose home test­ing ap­proaches on out­comes im­por­tant to pa­tients with type 2 di­a­betes treated in a com­mu­nity-based clinic set­ting. Ka­t­rina Donahue, MD, MPH, as­so­ciate pro­fes­sor of fam­ily medicine, and Laura Young, MD, PhD, as­sis­tant pro­fes­sor of medicine, will lead the re­search pro­ject. Both are mem­bers of the North Carolina Clin­i­cal and Trans­la­tional In­sti­tute, aca­demic home of the National In­sti­tute of Health’s Clin­i­cal and Trans­la­tional Science Awards (CTSA). John Buse, MD, PhD, pro­fes­sor of medicine and deputy di­rec­tor of the CTSA, will lead the stake­holder ad­vi­sory team com­pris­ing pa­tients and com­mu­nity mem­bers as well as rep­re­sen­ta­tives from in­dus­try, ad­vo­cacy groups and state govern­ment. The con­tract from PCORI is for $2,090,699.80. “Given the time and re­source-in­ten­sive na­ture of glu­cose self-mon­i­tor­ing, to test or not to test is a crit­i­cally im­por­tant ques­tion fac­ing the mil­lions of pa­tients liv­ing with non-in­sulin-treated type 2 di­a­betes,” said study lead­ers Drs. Donahue and Young in a writ­ten state­ment. “Pa­tients of­ten re­ceive mixed mes­sages about blood glu­cose self-mon­i­tor­ing. We are ex­cited that PCORI has rec­og­nized the lack of con­sen­sus around the util­ity of glu­cose mon­i­tor­ing in pa­tients with type 2 di­a­betes not treated with in­sulin.” The re­searchers said this im­por­tant, pa­tient­cen­tered pro­ject will help pa­tients and those that care for them make bet­ter, ev­i­dence-based de­ci­sions about whether or not blood glu­cose mon­i­tor­ing can im­prove the out­comes they value most. They also said that the re­sults will shape fu­ture de­ci­sion­mak­ing in di­a­betes-care prac­tice and guide­lines.

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