Katrina Donahue’s Monitor trial placed among the AAFP’s Top 20 Research Studies for Primary Care Physicians.
“The goal of the review process is to identify POEMs: patient-oriented evidence that matters. A POEM must report patient-oriented outcomes, such as improvement in symptoms, morbidity, or mortality; be free of important methodologic bias; and recommend a change in practice for many physicians. Adopting valid POEMs in clinical practice could therefore result in improved patient outcomes.”
“(this) well-designed U.S. randomized trial confirmed what had been previously observed in
a number of European studies: routine self-monitoring in patients with type 2 diabetes who are not taking insulin does not improve any clinical outcomes. Patients should have a glucometer and can use it when they are sick or symptomatic from diabetes, but routine use is not needed.”