Blood Glucose and Ketone Monitoring - Core - CDEP

Blood glucose and ketone monitoring are essential tools for many people living with diabetes to utilise to monitor their diabetes, adjust their treatment, diet or activity levels and seek help as required. What does NICE say about who should be routinely testing their glucose levels? All people with type 1 diabetes: A minimum of 4 tests per day is recommended - before meals and before bed. Up to 10 tests per day might be required for people who are driving, playing sports, tightening their diabetes control, pregnant or planning pregnancy, unwell or experiencing more frequent hypoglycaemia. People with type 2 diabetes who are at risk of low blood glucose levels / experiencing hypos, are planning pregnancy or are pregnant. Short term blood glucose testing may be useful in type 2 diabetes such as when starting a new treatment (especially steroids) or to confirm hypoglycaemia. What does NICE say about who should be able to test their ketone levels? People with type 1 diabetes should have access to ketone monitoring as part of supporting them implement 'sick day rules' and prevent Diabetes Ketoacidosis (DKA) and hospitalisation. People with type 2 diabetes on a SGLT2-inhibitor should also have access to ketone monitoring. Please note: Continuous Glucose Monitoring (CGM) is covered in a separate topic. TOPIC TIPS... You do not have to complete the topic in one go... CDEP is designed to be done in 'bite-sized chunks' fitting into your busy life! This topic generally takes around 45 minutes to 1 hour to complete depending on your chosen CDEP level - although this may differ from person to person.