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Requirements for Successful Pattern Management18,45,46
Patient requirements
HCP requirements
Have the skills to perform SMBG
Accept the relationship between glucose variability and long-term risks
Understand why and how to record food intake, physical activity, use of insulin, oral antidiabetic medication (or any other therapies, including times of use) that may influence BG
Know how to set end points for determining diabetes control
Understand why and how to record stress or other psychological factors that may influence BG
Understand how to interpret SMBG results
Be trained to interpret their BG test results, identify acute and chronic issues with glycemic control based on those results, and make appropriate adjustments
Have the skills to adjust therapy appropriately to achieve established end points
Accept the importance of relying on SMBG readings rather than a subjective sense of wellbeing for taking action
Communicate to patients how the BG data influences their care so that pattern management has motivational value