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<p> When someone has finally agreed to opt-in to your newsletter or act on your list-building free-gift, it’s just too good an opportunity for you not to follow up with another offer. You’ve put them in the mood for buying so why not take advantage? The process works like this: (a) the visitor has made a decision to give you their email address. This is a vote of confidence. You have offered them something compelling enough to illicit their email address – they have demonstrated they are willing to act by email. (b) You promptly auto-respond with an appropriate letter asking them to confirm their opt-in, after which, they are informed, you will promptly send them there free gift or ebook or article or whatever. (c) While that is being sent you redirect them to a new sales page which thanks them for the confidence, explains to them that they must confirm the email at which time you will send them the free gift, and THEN, it presents a secondary offer to the recipient. The important thing in the secondary offer is that it be positioned as something that you have put together just for them – it’s a reward for acting on your first offer! If you use a redirect of this nature, it’s important that you test different types of secondary offers against the actual opt-in confirmation to determine if there are any lost confirmations. By testing you will soon find the optimum configuration of first offer, confirmation and redirect that will optimize your sales results! Many people in this world are searching for the best way to lose weight. </p><p>The problem with this philosophy is that they don't change anything else. They assume that simply changing the type or amount of food will change what they weigh. In most cases, this doesn't work. The greatest diet ever conceived of is eating right and mixing in a little exercise. A little exercise could easily be a walk around the block. Seriously, that's exercise, and it will help you lose weight. And do you know what else will happen? You will soon want to walk a little further. And what about eating right? Eating right doesn't have to mean ordering your food from some company who will send it to you. </p><p>Eating right doesn't mean that a person has to munch on carrots all day. Eating right simply means eating right. At the end of the day we all know what eating right is. The bottom line is that the greatest diet ever conceived of. Content provided in partnership with Introduction Are we making optimum use of blood glucose monitoring? We raise this question because, although it is clear that blood glucose monitoring to assist patient management or to facilitate self-management is less clear. By examining a number of key issues in this article, we hope to stimulate discussion around <a href="http://www.optimum-diabetics.net">diabetic diet plan</a> this very important aspect of diabetes management. KEY WORDS * Blood glucose * Self-monitoring * Portable monitors * Glycaemic control * Patient education ********** The Diabetes Control and Complications Trial (DCCT, 1993) demonstrated what many clinicians had suspected for decades, namely that tight glycaemic control significantly delayed or prevented the long-term complications of type 1 diabetes. This finding was confirmed for people with diabetes to explore their own metabolic responses to particular meals, or exercise, and can help them adjust their insulin to changing circumstances during illness. </p><p>For these people, the ability to take an instant measurement of their blood glucose is extremely helpful: it improves quality of life and amply justifies the inconvenience of carrying the test equipment around and the discomfort of testing (Gallichan, Self-monitoring is particularly useful during pregnancy and for women planning a pregnancy, and it is the only method of self-testing that can detect hypoglycaemia. In addition, some people find it reassuring to have a readily available method to confirm or rule out hypoglycaemia. However, there are also drawbacks to SBGM, such as embarrassment about having to test, the inconvenience, and feelings of guilt engendered by not meeting prescribed targets (Gallichan, For patients with type 2 diabetes (Fontebonne et al, 1989; Patrick et al, 1994). Indeed, SBGM has been actively criticised on the basis that indiscriminate use of glucose monitoring wastes resources and causes psychological harm (Gallichan, 1997). Even accepting these considerations, the results of the DCCT provide evidence for the effectiveness of a package of care for people with type 1 diabetes, and current clinical practice recommendations from the ADA encourage the use of self-monitoring in both type 1 and type 2 diabetes. A potential not realised So we are presented with a predicament--in theory, SBGM has the potential to facilitate optimal control of diabetes, yet in practice this potential is not being realised. But could it be that the conclusions of the negative studies are painting too simple a picture? Closer inspection of the results suggests that the reality is more complex. For example, Fontebonne et al (1989) randomised 208 non-insulin-treated, poorly controlled people with diabetes (American Diabetes Association [ADA], 2001a). Yet 25 years on, glycaemic control remains poor in a significant number of people with diabetes to three groups: one with regular Hb[A.sub.1c] monitoring; one with self urine glucose monitoring and one with SBGM. </p><p>Although there was only a small difference in Hb[A.sub.1c] improvement between the groups carrying out blood monitoring and urine monitoring (0.4% vs 0.1%), and the authors concluded that regular self-monitoring has no advantage over usual management, there was a significant correlation between the number of glucose strips used and decrease in Hb[A.sub.1c]. Another important point is that while studies have looked at SBGM and glycaemic control and tried to correlate these two variables, no mention is made of what patients were actually doing with their blood glucose results. The question, therefore, is not whether SBGM alone leads to improved control, but whether patients have enough information to use SBGM in an effective way to facilitate improved control.. </p>