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Despite the good evidence to show that glucose control decreases the
risk of microvascular and other complications in patients with
diabetes, Evans et al (p 83) found that regular self monitoring of
blood glucose was uncommon among over 1500 diabetic patients in
Tayside, Scotland. Only 20% of patients with type 1 diabetes and
17% of patients with type 2 diabetes obtained enough reagent strips to test blood glucose at least once daily. Increasing age and
social deprivation were associated with reduced frequency of testing.
There was a direct relation between the number of reagent strips
obtained in the previous 6 month period and glycaemic control in
patients with type 1 diabetes. Regular self monitoring may
therefore be important for good diabetic control.