Every year, the American Diabetes Association (ADA) reviews the
current scientific literature and releases an updated version of
its Clinical Practice Recommendations. This year, there have
been several important revisions to the guidelines, including
the adoption of more individualized recommendations for the
frequency of blood glucose monitoring and the switch to a less
stringent target for systolic blood pressure (the top number) .
Blood glucose monitoring The previous recommendation for people
with Type 1 or Type 2 taking multiple doses of insulin or using
insulin pump therapy had been to check blood glucose levels
“three or more times daily.” Some insurance companies had
interpreted this to mean that allotting three blood glucose test
strips per day was sufficient for everyone with diabetes. The
new guidelines for glucose monitoring have been revised to
highlight the need for people taking multiple doses of insulin
or using an insulin pump to check their blood glucose
frequently. In these people, monitor