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Because a variety of home monitoring devices are available, appropriate selection and use can be a daunting task. Home monitoring of blood glucose and blood pressure levels can provide the patient and physician with valuable information for disease management. Information from home monitoring should always be used in conjunction with that from regular office visits and other data to make appropriate therapeutic decisions. Validated arm cuffs are the preferred blood pressure devices for home use. Home blood pressure measurements are also effective at detecting borderline hypertension and monitoring the effectiveness of antihypertensive drugs. Home blood pressure values predict target organ damage and cardiovascular outcomes better than values obtained in the office. These effects are more pronounced in patients who take insulin. Although the data are somewhat conflicting, home glucose monitoring has been associated with improved glycemic control and reduced long-term complications from diabetes.
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Glucose meters currently on the market produce results within 15 percent of serum blood glucose readings and offer a variety of features. Home monitoring allows patients to play an active role in their care and may improve treatment adherence and clinical outcomes. Home monitoring of blood glucose and blood pressure levels can provide patients and physicians with valuable information in the management of diabetes mellitus and hypertension.