Self-Monitoring of Blood Glucose in Youth-Onset Type 2 Diabetes: Results From the TODAY Study.

Objective: To determine whether self-monitoring of blood glucose (SMBG) is associated with lower HbA in youth with type 2 diabetes taking oral medications only or after starting insulin for persistently elevated HbA.

Research Design And Methods: Treatment Options for Type 2 Diabetes in Adolescents and Youth (TODAY) study participants ( = 699) taking oral medications were asked to perform SMBG twice daily. After reaching primary outcome (PO) (HbA ≥8% [64 mmol/mol]) over 6 months or an inability to wean from temporary insulin because of metabolic decompensation), insulin glargine was started.