{"id":4389,"date":"2017-06-13T19:35:00","date_gmt":"2017-06-13T23:35:00","guid":{"rendered":"https:\/\/www.med.unc.edu\/medicine\/is-the-finger-stick-blood-test-necessary-for-type-2-diabetes-treatment\/"},"modified":"2023-06-06T17:21:03","modified_gmt":"2023-06-06T21:21:03","slug":"is-the-finger-stick-blood-test-necessary-for-type-2-diabetes-treatment","status":"publish","type":"post","link":"https:\/\/www.med.unc.edu\/medicine\/news\/is-the-finger-stick-blood-test-necessary-for-type-2-diabetes-treatment\/","title":{"rendered":"Is the Finger-Stick Blood Test Necessary for Type 2 Diabetes Treatment?"},"content":{"rendered":"<p class=\"lead\">New type 2 diabetes research from UNC department of family medicine researcher Katrina Donahue, MD, MPH, and UNC department of medicine researcher Laura Young, MD, PhD, could change the way non-insulin users manage the disease.<\/p>\n<div class=\"image-section\">\n<figure class=\"thumbnail wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium\" src=\"https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2018\/12\/is-the-finger-stick-blood-test-necessary-for-type-2-diabetes-treatment-image2.png\" alt=\"image2\" width=\"300\" height=\"200\" \/><figcaption class=\"caption wp-caption-text\">Katrina Donahue, MD, MPH<\/figcaption><\/figure>\n<figure class=\"thumbnail wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium\" src=\"https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2018\/12\/is-the-finger-stick-blood-test-necessary-for-type-2-diabetes-treatment-image3.png\" alt=\"image3\" width=\"300\" height=\"200\" \/><figcaption class=\"caption wp-caption-text\">Laura Young, MD, PhD<\/figcaption><\/figure>\n<\/div>\n<div>\n<p>(Republished with permission. To read the full article by Heather Wilson, please visit the <a class=\"external-link\" title=\"\" href=\"http:\/\/news.unchealthcare.org\/news\/2017\/june\/is-the-finger-stick-blood-test-necessary-for-type-2-diabetes-treatment\" target=\"_blank\" rel=\"noopener\">UNC Health Care Newsroom.<\/a>)<\/p>\n<p>In a landmark study, UNC School of Medicine researchers have shown that blood glucose testing does not offer a significant advantage in blood sugar control or quality of life for type 2 diabetes patients who are not treated with insulin. The paper, published in <i>JAMA Internal Medicine<\/i>, details findings from a randomized trial called \u201cThe MONITOR Trial.\u201d This study is the first large pragmatic study examining glucose monitoring in the United States.<\/p>\n<p>UNC Department of Family Medicine&#8217;s <a class=\"external-link\" title=\"\" href=\"http:\/\/www.med.unc.edu\/fammed\/research\/faculty\/katrina-donahue-md-mph\" target=\"_self\" rel=\"noopener\">Katrina Donahue, MD, MPH<\/a>, Research Director for <a class=\"external-link\" title=\"\" href=\"http:\/\/www.med.unc.edu\/fammed\" target=\"_self\" rel=\"noopener\">UNC Family Medicine<\/a>, was the senior author of the study. Department of Medicine&#8217;s <a class=\"external-link\" title=\"\" href=\"https:\/\/www.med.unc.edu\/medicine\/directory\/laura-young-md\" target=\"_self\" rel=\"noopener\">Laura Young, MD, PhD<\/a>, from the <a class=\"external-link\" title=\"\" href=\"http:\/\/www.med.unc.edu\/medicine\/divisions-centers\/endocrinology-metabolism\" target=\"_self\" rel=\"noopener\">Division of Endocrinology and Metabolism<\/a>, was the first author. The article says 450 patients were assigned to one of three groups: no blood sugar monitoring, once daily glucose monitoring, or enhanced once-daily glucose monitoring with an internet-delivered tailored message of encouragement or instruction.<\/p>\n<p>\u201cOf course, patients and providers have to consider each unique situation as they determine whether home blood glucose monitoring is appropriate,\u201d said Dr. Donahue in the article. \u201cBut the study\u2019s null results suggest that self-monitoring of blood glucose in non-insulin treated type 2 diabetes has limited utility. For the majority, the costs may outweigh the benefits.\u201d<\/p>\n<p>UNC endocrinologist Laura Young, MD, PhD, Director of the Endocrine Fellowship Program, was also quoted. \u201cThere was no difference between either type of testing,\u201d said Dr. Young. \u201cEnhanced Self-Monitoring Blood Glucose, in the pragmatic setting of regular daily life, offered no additional health benefits.\u201d She added, \u201cthere has been a lack of consensus, not just in the United States, but worldwide. The lack of standard guidelines makes it all the more difficult for patients, who are already struggling to manage a chronic condition. And at the end of the day, patients have to make a choice.&#8221;<\/p>\n<p>To read the published paper, visit <a class=\"external-link\" title=\"\" href=\"http:\/\/jamanetwork.com\/journals\/jamainternalmedicine\/fullarticle\/2630691\" target=\"_self\" rel=\"noopener\">JAMA Internal Medicine.<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p><!-- description --> <\/p>\n<p class='lead'>New type 2 diabetes research from UNC department of family medicine researcher Katrina Donahue, MD, MPH, and UNC department of medicine researcher Laura Young, MD, PhD, could change the way non-insulin users manage the disease.<\/p>\n","protected":false},"author":69419,"featured_media":4390,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[2],"tags":[67],"class_list":["post-4389","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-67","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Is the Finger-Stick Blood Test Necessary for Type 2 Diabetes Treatment? | Department of Medicine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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