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History The initial patent for a practical glucose meter was issued in Elkhart, Indiana, in 1971, and the device has now evolved into a frequently used tool. The utility of finger-stick blood glucose testing using such meters has been solidly demonstrated in patients requiring insulin therapy; however, data are conflicting in non-insulin-requiring type 2 patients. 1 A systematic review of self blood glucose monitoring (SMBG) in type 2 patients not taking insulin concluded: “The overall effect of SMBG was a statistically significant decrease of 0.39% in glycated hemoglobin (HbA1c) compared with the control groups. This is considered clinically relevant. Based on the UK Prospective Diabetes Study, a decrease of 0.39% in HbA1c is expected to reduce risk of microvascular complications by 14%.” 2 Davidson, on the other hand, in a counterpoint to this study, reviewed several trials and concluded that SMBG fails to reduce HbA1c in type 2 patients not taking insulin and is therefore a waste of money. 3

Self Blood Glucose Measuring in the Non-insulin-requiring Diabetic Patient — To Test or Not to Test