Yet another question.... When to take a 2nd BG reading

debimzadi
By debimzadi Latest Reply 2014-06-28 18:25:40 -0500
Started 2014-06-26 19:37:29 -0500

I was diagnosed T2 in December 2013. The doc gave me 3 month (I pushed it to 6 because I kept rescheduling) to get my BG under control. I was not successful and went on metformin last week.

I have been doing 1 BG per day. I know the a1c conversion calculation and put it in a spreadsheet. My issue is I think the results are skewed because of the limited data set. I know it will never be spot on with an actual a1c test but ATM I'm off my about .6

My last rest was 6.6. My calculated a1c was only 6.0

Long story longer. If I were to add a 2nd test each day, are there any suggestions as to when it should be? Also, what is the carb range you try to maintain?


11 replies

funnygirl98
funnygirl98 2014-06-28 12:57:42 -0500 Report

Thanks for the info;-) I personally take my bs with my meter b4 I eat my breakfast and again at supper time. My nutritionist makes sure I get at minimum 45-60 grams of protien in my system a day but she has never said how many carbs I should be eating. And when I get my a1c's they range between 5.9 and 6.3 but I think its because I'm a hypoglycemic t2 diabetic and my bs will go real low and then it will spike way high close to 200 and then will come back down to normal for a bit so I feel like I'm on a rollercoaster ride all the time.

debimzadi
debimzadi 2014-06-27 17:43:23 -0500 Report

Wow. Thanks so many great comments. I did see a diabetes nutritionist and also a pharmacist. The pharmacist just showed me how to use my meter. The nutritionist and I had a long meeting. I had done a lot of research (different diets, the a1c curve and where the risk of complications begins increasing at an increasing rate. But none of it really helped me understand what I should do.

The nutritionist told basically told me there is no magic diet. Just do what works for me. Her recommendation was 150-200 carbs a day and I read here that some folks are trying to shoot for under 100. The support of people on a common journey means more to me than I can express.

For now, I'm going to increase my number of checks. I use fitbit, fitness pal and a heart monitor when I work out. I'm tracking carbs\fat\protein. I recently changed the a1c calculation I'm using and it is much closer to my quarterly test. Usually within .1. Last test I had 6.5. Test came back @ 6.6

Im probably over thinking everything. Thanks everyone. Keep the words of wisdom coming!

Glucerna
Glucerna 2014-06-28 18:25:40 -0500 Report

It's great that you're making use of technology with fitbit and heart rate monitor and are asking health professionals questions. You're putting all of this information to use in discovering what eating pattern works best for you, and that's ultimately what it takes. Keep us updated on how you're doing. ~Lynn @Glucerna

haoleboy
haoleboy 2014-06-27 18:18:00 -0500 Report

My goal is to stay as close as possible to 'normal' blood glucose levels in an attempt to prevent developing more complications and to keep the ones I am already enjoying from worsening.
There are various schools of thought on how aggressively you should (or can) address this disease … as I have mentioned I try and stay sub 100 grams of carbs a day. BUT … that's just me. I am on 500 mg of metformin 2x a day and I have never (well at least not yet) had an issue with going hypo (lowest BGL I've ever recorded was 78). my last A1c was 5.8 my goal is 5.6 or less (and to get off the met) and eventually get to an A1c og 5.0 or less.
By no means do I encourage anyone else to go lower than your doctors or nutritionists recommendation … just like to let people know that there are alternatives to the mainstream views,

Gabby
GabbyPA 2014-06-27 16:13:46 -0500 Report

My doctor never even discussed a meter. But I was already testing, so I didn't need it. But it's sad when we don't get any kind of direction. Like getting an airplane and told to fly it...what??

Steve's idea is what I did at first and what I do from time to time when I find my numbers are not doing what I would like. Alternating through the meals and when I do that I also test at 3:00 am to see where I am at. That is when my liver tends to give me a present that I don't want.

When you have such a limited window of testing and don't know how high or low you get during the day, you cannot really calculate an accurate A1c. So many things affect it.

Nick1962
Nick1962 2014-06-27 10:48:21 -0500 Report

In addition to Steve’s response, I’ve always said you can never test enough.
Test as often as you can afford to (I’ve done it up to 14/day), but also pay attention to those numbers and what you did/ate to get them. That’s the data that will show what food or behavior patterns need work.

Glucerna
Glucerna 2014-06-27 12:57:42 -0500 Report

I agree with your approach Nick. Knowing why you're testing and using that information to make changes in your food choices, exercise, sleep, stress management and talking with your doctor about medication is key. Debimzadi you might also ask your physician for a referral to a certified diabetes educator who can help you identify changes you can make to improve diabetes management and work with you to make those changes. ~Lynn @Glucerna

haoleboy
haoleboy 2014-06-27 14:00:09 -0500 Report

that is huge Lynn … when first diagnosed I was given a meter and strips and told to "test my blood" with no input as to when OR (more importantly) why … what did the numbers mean and what was I supposed to do with that information. Since joining this group I have come to realize that this is a common issue. To send a newly diagnosed diabetic out with out a solid understanding of testing is (to echo James) borderline malpractice and one of the reasons online communities such as this are so valuable.

Steve

Nick1962
Nick1962 2014-06-27 13:28:06 -0500 Report

Thanks Lynn, I believe in a proactive approach. It can be expensive at first, but done right it can mean eventually not having to test at all (although I still do). Debimzadi’s got good numbers, so it sounds like she’s just a few tests (and educator visits) from making (and keeping) them stellar.

haoleboy
haoleboy 2014-06-26 19:52:14 -0500 Report

Is your 1 test fasting in the AM?
If you add one more perhaps rotate it through the week at 2 hours after meals. i.e. 2 hours after breakfast Sunday, after lunch on Monday, dinner Tuesday etc.
Your daily carb would be up to you and your health care professional (doctor/dietitian etc.) … currently I aim for between 50 - 100 carbs on most non-fasting days.

Steve

debimzadi
debimzadi 2014-06-26 21:51:05 -0500 Report

Thank you. Your comments are greatly appreciated. And yes. I do test in the a.m. I just tested tonight @ 128 though. I'm going to do as you suggest and rotate through my meals. I'm actually kinda stoked about my 128.