checking blood sugar

Anonymous
By Anonymous Latest Reply 2011-05-09 12:22:41 -0500
Started 2011-05-07 19:57:14 -0500

My primary doctor says I should test my sugar level before meals, because they're well controlled, and that checking them after meals is only if the sugars become harder to manage. Is this good advice?


10 replies

tabby9146
tabby9146 2011-05-09 12:22:41 -0500 Report

I don't think that is good advice, especially if you are newly diagnosed. I was advised to check twice a day in the begining, and I was on Metformin (500 mgs a day) and I still advised twice a day, when I got off the pills, about a year after that, my doc said once a day for me. But when you are new to it, you have to see how you react to the foods, and which ones spike it th emost. I was testing 3 times a day most days, at first, to see what I could eat, and how much.

Kirla
Kirla 2011-05-08 10:50:42 -0500 Report

I believe in testing before and after each meal. I used to test 2 hours after eating to see how well my sugar was doing. Then after several months I was wondering how high my blood sugar went. I wanted to know what my peaks were after eating. One night after supper I tested before and then started to test at 30, 45, 60 and 75 minutes after eating to see where I was peaking. After a couple of days I decide I was spiking about 1 hour after eating and started to test then.

At first I cut back or eliminated carbs that spiked my blood sugar more than 40-50 points 2 hours after eating. When I started to test at the 1 hour time after eating I continued to cut back or eliminate foods that spiked my blood sugar more than 40-50 points after eating.

My first A1C test was 14.1 and my first fasting blood sugar was 366. By following my meter I decided that all foods that had more than 5-6 net carbs per serving all spiked my blood sugar. I then refused to eat any foods that were more than 5-6 net carbs per serving as read on the label. It only took my blood sugar to drop close to normal numbers about 6-8 weeks. My next A1C went to 5.9. All my A1C for the last 2 years have remained below 6.

If your doctor and insurance company will not pay for 6-8 tests per day I found that I can keep a pretty good idea of what my blood sugar is doing testing before and after breakfast one day then lunch the next day and supper the day after that. Then after a few days you have a pretty good record of what your blood sugar is doing. I once cut my testing to just once a day. One day I tested before breakfast the next day after breakfast and the day after that before lunch and the next day after lunch and so on. After one week I could see how I was controlling my blood sugar pretty good.

I use a chart people can print from my website. Its in color but I print it in black and white. I then make copies and use them everyday. One page last 4 weeks. You will find the chart here. http://kirla.files.wordpress.com/2010/05/suge...

Good luck
Kevin
http://kirla.wordpress.com/

Harlen
Harlen 2011-05-08 08:51:47 -0500 Report

How would you know if they where going bad ???? or starting to go bad ?
I dont know what you using to keep your BS inline ??
Best wishes
Harlen

jayabee52
jayabee52 2011-05-08 00:25:40 -0500 Report

I don't really understand what your PCP said.

I like to do my fasting BG#s and then take my BG# 2 hrs after so I know how my body reacts to the meal.
That prevents me from going high and getting harder to manage. I think it is better to be vigilant regarding your diabetes rather than be more lax regarding its control.

thegizzard
thegizzard 2011-05-08 04:22:50 -0500 Report

All I know is that my fasting blood sugars range from about 100 to 140 before I eat, although I do have exceptions to that—too many carbs, or I ate something the night before that I shouldn't have! Occasionally I will check my sugars after eating, but they rarely get above 180-185. 151 is where I start giving myself Novolog insulin, nothing else. How does this sound to you?

jayabee52
jayabee52 2011-05-08 11:35:58 -0500 Report

I understand that a BG of 140 for extended periods will start damage to your body, and that damage can be cumulative. For instance: Diabetic Neuropathy (painful burning in the lower part of my legs/feet as I have), kidney & heart problems or will make them worse if you already have them or perhaps gastroparesis!

This is advice from a PCP. Do you have an Endochrinologist who specializes in Diabetes? Perhaps you should get one and see how that Endo would instruct you.

Is your Novolog the "N" kind or the "R" kind. From the way you put when you start taking the insulin, may I infer that you are on a "sliding scale" of some sort? And may I further infer that your Novolog is a shorter-acting kind like "R" or "Aspart"?

If you don't regularly check your BG#s 2 hrs after you eat, how can you tell WHEN you need to dose with your insulin?

If it is an issue of it takes too many test strips, ask your PCP or your Endo (should you get one), to increse your number of test strips to the number of tests you take daily, and then a couple strips more per day in case your strips won't read right, or you want to test a little more.

Ultimately it is YOUR body and YOUR future, not your PCP's neither is it mine. Lax control (as it seems your PCP recommends) may come back to bite you!

I've been the route of lax control, and I have some deadly and painful conditions because of that. If I knew beforetime I would have these complications, I believe I would have been more vigilant in my diabetes numbers control. But it is what it is, and I am where I am now. I try to be more vigilant so my medical challenges do not get more challenging in the future.

Blessings to you and yours, gizzard!

James

thegizzard
thegizzard 2011-05-08 12:08:13 -0500 Report

Thank you for your extremely helpful answer, James! I will ask my PCP about getting an Endocrinologist. We have a Joslin center here, so it would be convenient. I'm surprised my PCP has not recommended it to me before. but I recently changed PCP's, and asked him directly about BG testing. SO the next question of him will be about getting an Endocrinologist. But the last time I saw one, several years ago, I nearly got laughed out of the office because my meter didn't show what they considered diabetes. I think that things have changed. I need more care of my diabetes, as you said. I've been lucky not to have any neuopathy thus far, and my most recent eye exam in April was clear. I also have my feet checked regularly. But a warning like yours deserves follow up, and I will. Again, thanks! I'll let you know what comes of my nagging.

jayabee52
jayabee52 2011-05-08 12:19:41 -0500 Report

Please do, Gizzard, please do!

Also please note I have sent you a friend request. Please accept it so we can email back and forth if we need or want.

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