Exposure-based treatment to control excessive blood glucose monitoring.

Allen et al. (2001) worked with one child who checked blood sugar far too often.

They used a changing-criterion design. Each week they let the child check fewer times.

The plan moved slowly so the body and mind could adjust.

Excessive checks dropped and stayed low.

Metabolic control got better, not worse.

The child felt safer even with less feedback.

McConnell et al. (2020) also used graduated steps, but for dental fear in autistic youth. Both studies show slow exposure works across medical settings.

Lancioni et al. (2000) took the opposite path. They added a 54-step checklist to help a memory-impaired woman check blood sugar correctly. One paper reduces checks, the other improves them—same tool, different goal.

Epstein et al. (1981) used a point system to boost urine-glucose testing in kids. Adherence rose, but metabolic control did not change. D et al. show that cutting checks can improve control, hinting that quality beats quantity.

If a client with diabetes checks too often, try a gentle step-down plan. Set a slightly lower limit each week. Pair it with calm coaching. Track mood and glucose together. You may get better health and less anxiety in one package.