TAKE CONTROL - Q&A to Why Bother Monitoring?
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Why should I bother monitoring my asthma?
Monitoring you asthma at home may seem like an added burden to remembering you daily medications! However, there are many different ways in which monitoring your asthma at home can help you. Some of these are summarised below.

  Help You Stay as Well as Possible all the Time.
Monitoring can help you stay as well as possible all the time on the minimum medication needed to keep you there.
  Help Your Doctor to Assess You and Your Needs
When you visit your doctor or nurse for a follow-up, they will want to gather as much information as possible about how well you are at the visit and in the run-up to the visit. Records from home monitoring can provide the maximum amount of information in the minimum amount of time, helping your doctor ensure you get the most appropriate care.
  Enable You to Have a Self-Management Plan
A self-management plan is a set of guidelines agreed between you and your doctor on 'what to do when'. This plan gives you much more control over your asthma and can help you to stay well. Most plans require some degree of home monitoring. You can find out more about this in the the page Having a Self-Management Plan.
  Help You to Identify Your Triggers
It is very important to identify those things which bring on your asthma symptoms or make them worse. Most people with asthma have more than one trigger. Although some triggers are obvious, others prove more difficult to identify. Monitoring can be a great help in identifying these elusive triggers. Getting to Know Your Triggers provides more information on this area.
  Help You Feel More in Control of Your Asthma and Your Life!
Most people with asthma should be able to achieve the quality of life they wish. If you want to be in control you must take the time to find out about your asthma. It is important to know the signs which indicate you need to alter your treatment or seek help; leaving things to chance and hoping you will get better soon can be dangerous. Monitoring at home combined with good education and care from your doctor and/or asthma nurse can help in achieving this goal.
  Help You Understand Your Asthma
Monitoring can help improve you knowledge and understanding of your condition. The records you produce can also provide an excellent focus for discussion with your doctor or nurse.

When is monitoring particularly useful?
When and how long you monitor your asthma will depend on your individual asthma and situation; this is best discussed with your doctor or nurse. There are certain times when monitoring is particularly useful as summarised below.

  If Your Doctor is Not Sure it is Asthma
Sometimes it can be quite difficult for doctors to confirm asthma is present. This is particularly so in young children and in older people unable to use a peak flow meter. Monitoring at home can help confirm the diagnosis. This is explained more fully in How Does the Doctor Know it is Asthma?
  If You Have Just Been Diagnosed With Asthma
If you have just been diagnosed with asthma, you will probably be starting one or more asthma medications. Monitoring at this time can help ensure that the treatments are correct for you and are working effectively.
  If Your Medication is Changed in Any Way
You should always monitor your asthma when your medications are changed in any way. This is to ensure the change has the desired effect. Changes may include:
(a) An increase in the dose of your current medication or the addition of a new medication if your asthma is showing signs of poor control.
(b) A decrease in your current medication(s) if you have been well and free from asthma symptoms.
  To Check That You Really Are as Well as You Can be!
It is useful to monitor your asthma for a couple of weeks every now and then even if you think you are at your best. This will ensure that you are in fact, as well as you could be. The variable nature of asthma means that your asthma control may vary from time to time. In addition, people with asthma often think they are at their very best when in fact things could be improved further.
  If You are Trying to Establish Your Personal Best Peak Flow
It is important to know your personal best peak flow. Any peak flow readings, whether taken by you at home or in by the doctor in the surgery, should be compared to this. Your best peak flow will change over time and with age so it is worth re-establishing it about once a year. In addition, if you obtain a new peak flow meter for home monitoring, it is essential you re-establish your best value. This is because meters vary slightly in their readings even if they are the same make! You can find out more about peak flow in Understanding Peak Flow.
  If You Suspect Something is Making Your Asthma Worse But are not Sure What it is
Monitoring can help you identify those sometimes elusive triggers which are responsible for bringing on or worsening your asthma symptoms.
  If You Have Recently Had an Asthma Attack
The first days and weeks following an asthma attack are a particularly vulnerable time. Your lungs will be very irritable and need a reasonable 'settling down' period. Your medication will have been changed in some way to help your lungs recover. Home monitoring can help you and your doctor accurately assess your improvement; it can give you a clearer idea as to when (and if) you are well enough to reduce your medications.
  If You Use a Self-Management Plan
Many self-management plans require you to monitor your condition. You can find out more about this in Having a Self-Management Plan.
Topic "Take Control" Updated 14th August 2003  
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