Concern was expressed over a number of issues surrounding the successful use of selfmonitoring, and recognised that its cost meant that it had to be effectively deployed. It should only be supported in the context of a provision of a package of care, including structured education, from a primary or secondary diabetes care team. The initial education should be provided by a properly trained and skilled professional with understanding of the problems of the technology. Also, the skills of people with diabetes in using the technology should be the subject of regular quality assurance (together with the devices) perhaps as part of the regular annual review process
