Assessment and monitoring of glycemic control in primary diabetes care: Monitoring techniques, record keeping, meter downloads, tests of average glycemia, and point-of-care evaluation

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Purpose:To present a review of glucose monitoring methods useful in primary care.Data sources:Pertinent publications in the literature, printed materials and resources, and the clinical experience of the authors as a referral center for care of patients with diabetes.Conclusions:Regular monitoring of glucose control is an integral and important aspect of diabetes care. It allows the advanced practice nurse (APN) to assess whether diabetes goals are being met or not, involves patients in the care of their disease, and assists in making informed treatment decisions.Implications for practice:A working knowledge of glucose monitoring methods, monitors, testing devices, and laboratory tests is extremely beneficial for the APN in attaining standards of care for patients with diabetes.

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