Do Level 2 Diabetics have to check their Bg as well?

By sandrafry Latest Reply 2012-03-15 20:47:21 -0500
Started 2011-05-11 16:35:09 -0500

I was recently told that I am a level 2 Diabetic. My doctor wants me to try to control it with diet first, but nothing was said about checking my blood on a regular basis to see if the BG levels are up or down.

I am wondering if I should check them on a regular basis, Diabetes runs in my family very strongly so its not completely new to me but it still is somewhat.

Can anyone help me with this or give me some ideas as to what to do?

30 replies

Pynetree 2011-09-19 12:03:32 -0500 Report

Since this question was posted back in May, you probably have your personal routine down by now. But, I'll add my two cents (actual worth!) You need to test often and record results, what you ate, how you feel, what is going on in your life (i.e. = STRESS) in the beginning. It will be invaluable to you and your Dr. (who, IMHO, is too lax with care, and patient education!)
I'm now 20 plus years into this Diabetic life style…I still journal what I eat, whether I'll ill, or how stressed I am, and what my FBG was. I test EVERY morning..note it, and occassionaly test after a meal, or at bed time.
But testing is the only way you'll know what your body is doing on meds, or if sick, stressed, or after enjoying a forbidden hot fudge sundae, with wet walnuts, whipped cream and two cherries!

GaryFB 2011-11-16 07:18:30 -0600 Report

You are right on with the logging part. It's an integral part of keeping things in line and controlled. That, coupled with diet, exercise and attending support classes once/month helps create a good circle of life for me. Hang in there everybody!

SaraF 2011-09-19 10:58:16 -0500 Report

My dr has put me on metformin recently. I test three times a day and keep a journal of all food and drinks so I know how what I am eating and drinking affects my bs. My bs this morning was 125 and yesterday it was 119. You need to keep a journal so you can tell how different foods affect you. For instance, if I eat peanut butter and jelly on toast, my blood sugars go through the roof. I only use a little peanut butter and sugar free sugar, but this is how it affects me. So now I know that unless my bs is very low, I can't eat this type of food.

Pynetree 2011-09-19 12:15:25 -0500 Report

SaraF…I hope you know that your blood glucose will almost always rise after eating…that is normal. What does "through the roof" mean…does it go over 200? And what is it at 2 hrs. after, and 3 hrs. after? And probably the toast is more the offender, than the tablespoon of PB, or sugar free jelly. Try using low carb or light bread. I like Pepperidge Farms Light style 7 grain (- 45 cal a slice -) bread a lot.
Having just started Metformin, how are you doing? Notice any side effects? How are your FBG #'s?
Our Dr. has just given my husband a diognosis of Diabetes. He has just started this morning with 500 mg. of Metformin.

SaraF 2011-09-20 05:52:25 -0500 Report

Hi, I know that my blood glucose will rise after eating, but I didn't expect it to be 250 after eating. That was two hrs after I ate!I use whole wheat bread so I don't think it is the bread. I am doing fine with the Metformin, no side effects and FBG;s are 119-125. I, too, am taking 500 mg of Metformin. Let me know how he is doing. God bless you!

lacat87 2012-02-25 10:48:43 -0600 Report

Even when you are eating whole wheat bread, there are a lot of different breads with just as many different carbs for these breads. Hope you are a label reader. I eat 100% whole wheat bread that's 11 grams of carbs. It's just about the lowest I have found in my store. I noticed too that there is a sugar free whole wheat bread. Haven't tried it…doesn't sound good to me! Keep up the good work. We are all here for each other!!

jayabee52 2012-03-15 20:32:46 -0500 Report

Tasty is good JD, but what is the carbohydrate reading on the label per slice? Sometimes the "sugarfree" items may have as many or more carbs than the "regular" breads.

jayabee52 2012-03-15 20:47:21 -0500 Report

if you are eating a 60 carb meal, and you eat 2 slices of that bread as a sandwich there is a majority of your carbs right there —- think about it!

Kirla 2011-10-01 08:07:37 -0500 Report

It’s the bread. I found that all bread even whole grain spikes my blood sugar. The sugar free jelly may or may not spike your blood sugar. I found as long as I don’t use more that a teaspoon its ok. Peanut butter should be ok. Most are low carb. Some have added sugar so you need to read the label. I find most have about 5-7 carbs per serving and 1-2 carbs come from fiber. The ones I use have 4 net carbs per serving. I can eat a lot of peanut butter with out it spiking my blood sugar.

Good luck

robertoj 2011-08-15 02:01:47 -0500 Report

Testing is essential. My doctor told me to test twice daily and my diabetes educator suggests occasionally checking before a meal, record what and how much I ate and then test again two hours later. If your doctor isn't hip to diabetes find a new doctor. I had the worst doctor for diabetes and now I have an excellent one and the difference is unbelievable.

Diaschm 2011-08-08 12:56:04 -0500 Report

I think that checking my blood has been very surprising to me. It really helps me understand what I am eating and how it effects my sugar levels. Until you check you really have no idea how you are doing with your sugar, you can not just feel it. To me the only way you really know is to use a metor and check before you eat and 2 hours after you eat. Then use this information to control your sugar and tell your doctor to prescib a meter for you. I use Freestyle. It only requires alittle blood and does not hurt my fingers like some others do.

Marytea 2011-08-08 12:49:25 -0500 Report

The thing is, for me, I am a new Type 2 also and if I don't check my bg, how in the world do I know if I am worse or better? I only test twice a day and the info tells me what to do foodwise. I would strongly encourage you to try it. I was afraid it would hurt a great deal, but it doesn't. Talk to your doctor, of course. Mine did not tell be to test, but my common sense told me I needed to.

Lloyd M
Lloyd M 2011-05-16 06:53:00 -0500 Report

Just remember, testing gives you information. If you do not act on the information, it does no good. At the very least, record the data and show it to your doctor, it helps in designing a treatment program. Much better, would be to also use the data to evaluate changes in your lifestyle, food and exercise, and how they affect you.
Best wishes,

Zolar1 2011-05-15 18:11:52 -0500 Report

Your 'level 2' diabetes is actually type 2 diabetes, NIDDM to be precise. The NIDDM simply means you don't need insulin to live, only to control BG if needed.

The absolute proper and advisable way to check blood sugars is this way:

On Metformin and the like, morning, right before a meal, and at bedtime (4x a day).

On pancreatic stimulants or insulin:

when you get up, right before eating/snacking, and 2 hours after eating, and at bedtime.

If you want to have better blood sugar numbers, google Dr Bernstein diet or Ketone diet.

And of course, exercise is essential.

kdroberts 2012-02-25 11:25:31 -0600 Report

Type 2 is not the only type of diabetes that is classed as NIDDM, there are a few others.

There is no "absolute proper and advisable way" to test blood sugar for anyone, it will vary based on the person and what information they are trying to get. For instance, the schedule you have for "Metformin and the like" would be completely useless if you were trying to test a particular food or meal or type of exercise as you would not have any results that you would be able to help you figure that out. And for the "pancreatic stimulants or insulin" you may be eating a food that you know will take time to hit your blood stream or you may just have a body that digests carbs quicker/slower than average and testing 2 hours after a meal won't help because it really hasn't started raising your blood sugar, for instance some carbs in high fat meals will still be affecting your blood sugar 8+ hours after eating them while other types of carb may be in and out within an hour. Any test you do should be to gain some sort of information, not because somebody told you to do it or to have a nice log book of numbers. If you do a test and you don't have an answer to either what does this tell me? (my blood sugar is X is not a good answer to that question) or what will this help me find out? then it's largely a wasted test.

Zolar1 2012-02-26 19:21:37 -0600 Report

The testing recommendations came from my endocrinologist. They are typical of a diabetic meal. Of course there are exceptions to the rule, but you can figure them out rather quickly. High fat meals take the longest to digest and can spike you much later. The spikes can also last for DAYS.

Zolar1 2012-02-26 19:27:17 -0600 Report

Note: when your doctor runs a comparison between your measured blood sugars against the A1C you had they can quickly find out the problem areas. They will adjust your meal plan and or your testing times.
I have had spikes into the mid 200's and still had an A1C as low as 5.1 . It depends on how LONG your blood sugar spikes last more than the size of the spike. And copious amounts of water during and fater meal time can greatly reduce spikes too.

jayabee52 2012-02-27 01:57:13 -0600 Report

A lowered A1c like that may also be because of having a low or repeated lows. My late wife had BG levels ^ 300 for days yet she had an A1c of 6.0. Her endo, when asked pointed out the A1c is a average of BGs over the last 30 days so If she had lows (and she did, frequently) showed up as a lowered A1c.

sandrafry 2011-05-13 09:40:54 -0500 Report

My doctor hasnt told me to check my sugar at all, he said he wants me to control it with diet first. But with so many people in my family that are diabetic, many of them are telling me to check it often. Should I talk to the doctor again and try to get him to prescribe a tester and strips for me or just go with what he wants and try to control it with diet?

jdla 2012-03-15 20:33:51 -0500 Report

i am testin 3x a day - mor4ning(fasting) then before varoius meals and 2 hours after those meals = this is journaled and dr recommended so we can see what is happening - my bg was highest (125-140) in am on a regular basis when checking before starting the metformin 1x daily and is starting to become a bit lower and more stable- i am also eating healthier and watching carbs and suagrs - now to get into the exercise

Diaschm 2011-08-08 13:00:45 -0500 Report

YES, YES have your doctor get you a meter and use it before you eat and then 2 hours after. Then report the scores to your doctor. This is the only way to really know how you are doing with your sugar diabetes.

jayabee52 2011-05-13 15:02:10 -0500 Report

Sandra, please see my reasons FOR testing your "sugars" at least 3 x /day, below.

It's not supposed to be an either/or question. To try to control it with what you eat and drink, you have to know how what things you consume affect your Blood Glucose numbers. I believe it is imperitave you test. If Dr gives you static about it, I would find another Dr ASAP, as that Dr does not have your best interests in mind. My question to Dr would be, "If you want me to control my diabetes with diet, why do you not give me the tools to do that?"

Harlen 2011-05-11 18:41:35 -0500 Report

Hello and welcome
When I first started I would rite it all down what I ate what my BS was before and what it was 2 hr after i ate and yes I did use a scale and the book The Calorie King so I would know what the carb's where in what I was eating .
It is a pain in the butt but you will need that info !!!
Best wishes

jayabee52 2011-05-11 17:39:51 -0500 Report

Howdy Sandra! Welcome to Diabetic connect! Please accept my friend request.

I go to a Diabetes support group here in Las Vegas known as ADEMS. (Google the name) We happened to be talking about how many times MINIMUM a Person with Diabetes ("PWD") should check Blood Glucose ("BG") per day. The answer is a minimum of 3 times per day. Wou want to test when you get up (fasting BG) and then once post prandial - 2 hrs after a meal. And then just before you go to sleep. Those are the MINIMUM number of times you should be testing. Many Drs tell you to test 2 x/day, usually because that is what insurance co, wants them to tell you. Saves them money. But it is YOUR body, and your diabetes and YOU have to live in it with diabetes.

Kevin ("Kirla") is giving you good advice, especially as you are getting to know YOUR body and the effects of diabetes on it. You can test before and after each meal. Ask your Dr to write the prescription for the number of meals you will be eating and multiply that x2 Tell Dr why. You want to take your diabetes seriously and you want to learn what foods have which effect on your body. Write them down in a notebook so you can remember.

Blessings to you and yours, Sandra.

James Baker

Kirla 2011-05-11 16:44:26 -0500 Report

I believe in testing before and after each meal to see how what you ate affects your blood sugar. High carb starchy foods like potatoes, pasta, bread and most foods high in carbs will spike blood sugar. Cutting back on these foods will help lower your blood sugar. This is what I post for people who are new or are looking for ways to get their blood sugar under control. I believe what works for some people will also work for others. I believe you should find as many people as you can who have successfully got their blood sugar under control and try some of the things that helped them. This is what has helped me. It may or may not help you. I just figure it might be worth a try.

Feb 2009 I was diagnosed with a fasting blood sugar of 366 and A1C of 14.1. Started to eat a salad every day at supper. Also started to eat lots of low carb vegetables like broccoli, cauliflower, cabbage, cucumbers, spinach, pickles and sauerkraut. Started to drink 8+ glasses of water every day.

I then bought a meter and started to test my blood sugar before and after each meal. At first I was testing 2 hours after each meal and when my numbers dropped a lot I started testing 1 hour after meals. I was testing 5-7 times a day. I cut back or eliminated foods that spiked my blood sugar more than 50 points after eating.

By testing I found that foods like bread and most foods made of grains along with pasta, rice, corn, potatoes, oatmeal, cereals, chips, crackers, cakes, cookies, candy, soda, fruits, fruit juices, milk and most foods that contain more than 5-6 net carbs per serving as found on the package label all spiked my blood sugar. Some people can cut back on these foods and some people like me have to stop eating them.

After about 6-8 weeks my blood sugar readings were almost normal levels. After 7 weeks I quit all meds and my numbers continued to get better and better.

I found by reducing and eliminating high carb starchy foods helped me a lot. By adding small amounts of chicken, beef, pork or a hard boiled egg to my meals helped reduce blood sugar spikes also.

Good luck

Zolar1 2012-02-26 19:23:40 -0600 Report

Excellent! You found a plan that works for you. Too bad I can't follow it though. My lifestyle won't let me :-(

cindygal1 2011-08-08 12:39:02 -0500 Report

I think that I would check my sugar in the morning and at night. If it run in your family, I don't understasnd your doctor at all.

dIDYMUS 2011-09-19 00:19:32 -0500 Report

I am having a hard time with some of these Doctors, if you can call them that. I was a medical transcriber, and some of the things that these Dr's? dictated had made me really aware of getting answers to questions I have. I am new too, but common sense tells me that I need to test. I have never known anyone that doesn't. Now I have to also.