Current methods and means of metabolism automonitoring in diabetes mellitus

Self-control (SC) in the broad sense of the word is the registration of trained patients with diabetes mellitus, subjective sensations, glycemia, glucosuria and other indicators, as well as diet and physical activity in order to make independent therapeutic decisions. It is more correct to use the term “self-control” in the narrow sense, only to indicate SC metabolism, that is, to independently determine the patient’s blood sugar or urine content, which will be the subject of this lecture. Using modern methods of rapid analysis, patients can independently evaluate the most important parameters of metabolism with an accuracy close to laboratory. Since these indicators are determined in everyday conditions familiar to the patient, they are of greater value for the correction of therapy than glycemic and glucosuric profiles examined in a hospital or clinic when the patient is in completely different, unusual conditions. The main condition for the prevention and treatment of diabetic microangiopathies is the stable maintenance of a glycemia level close to normal. But only a few patients are able to feel the differences in glycemia from 4 to 10 mmol / l, and it is within these limits that you have to “work” to achieve close to normal blood sugar levels. In addition, patients with prolonged decompensation adapt to hyperglycemia and feel satisfactory, and their reduction to normal is perceived at the first stages of treatment as hypoglycemia. Therefore, one cannot rely on subjective feelings when trying to achieve normoglycemia.