SMBG Protocols Predicting Glucose Levels in Senior Diabetes Mellitus With CAD

A Prospective, Randomized, Controlled Study on Self-monitoring of Blood Glucose (SMBG) Protocols in Predicting Glucose Levels in Senior Patients With Type 2 Diabetes Mellitus (T2DM) and Coronary Artery Disease (CAD)

Self-monitoring of blood glucose (SMBG) is a common way to assess glycemic control in diabetes management. Multiple times of blood glucose measurements by fingerstick in the same day are of tough challenge to it. The changes and variations of glucose excursion in senior diabetics with Coronary Artery Disease (CAD)involve a safety issue besides glycated hemoglobin (GHb) value. The goal of this study is to explore modified SMBG protocols for precisely monitoring and predicting glycemic excursion, variability in senior type 2 diabetics with CAD.

Inclusion Criteria:

• Clinical diagnosis of type 2 diabetes
• Clinical diagnosis of coronary artery disease
• Age ≥65 years
• The blood glucose is controlled by diets and (or) oral hypoglycemic drugs
• BMI≤28 kg/m²
• Being able to monitor and record capillary glucose value by themselves at home

Exclusion Criteria:

• Diabetic ketoacidosis (DKA)
• Acute cardiovascular events
• Anemia
• Insulin treatment
• Incapable to perform SMBG at home