Over testing, is there such a thing

Cat Weaver
By Cat Weaver Latest Reply 2015-02-26 19:35:55 -0600
Started 2015-02-25 14:23:28 -0600

Hello agian everyone!

Hope I'm not bothering any of you with my questions but I have so many as a newly diagnosed and this is the first community I found that I feel comfortable with sharing and asking in. I was diagnosed Febuary 8th by being admited to the hospital DKA and spent untill Febuary 12th in ICU released from the hospital Feb 13th Just intime for the "sweetest" Holiday of the year. Since than I have used quite a few test strips and the financal strain is starting to set in.

My question is how often should you test? I know before meals and after meals first thing in the AM and before you go to sleep but what if I'm high and I take a correction dose? Do I check 2 hours after like I would when eating? I am adjust to insulin and there have been days where I have taken a correction dose and a hour after the dose been 50+ points higher. My first PCP appointment is tomorrow and I have a very extensive log kept of the days between my hospital release and now so I know it will get better I am just looking for some guidlines others have used to prevent over checking and to make sure I am not underchecking.

4 replies

Just Joyce
Just Joyce 2015-02-26 19:35:55 -0600 Report

I agree with Stuart. It is often determined by what the insurance company will cover. Thankfully really don't have to test everyday. I test once every other day. When I was first diagnosed, I tested before each meal and two hours after each meal. I did this for the first month or two until I learned what would spike my blood sugar and what doesn't. You have to decide for yourself when you feel the need to test. I did it when I would begin to feel a little woozy which was a sign I was low or when I had a headache which I learned I was high. Now that I know how my blood sugar will react to specific foods, I either eat a teaspoon full if I want it or don't eat it at all. I tested a lot to get a baseline on before and after meals.

Type1Lou 2015-02-26 09:10:12 -0600 Report

Again, I'm recommending that you check Gary Scheiner's book "Think Like a Pancreas". He has a chart in it indicating the target range of post-meal BG's and fasting BG's. It's my go-to manual for learning about how to deal with my diabetes. I use an insulin pump and test my BG on average 8 times per day: Fasting, meal-time, 2 hours post meal, bedtime and middle of the night (because I struggle with Dawn Phenomenon.) I also test any time I think I might be going too low, so I can catch it in time before going seriously hypoglycemic. As a Type 1, most insurers will allow us more test strips per day than they would with Type 2's, providing your MD writes the prescription indicating the necessity. I'd be truly lost without my meter.

Stuart1966 2015-02-25 19:55:50 -0600 Report

Your insurance company will tell you how many strips a month THEY will pay for, whatever testing you do above/below that number is entirely on you, a choice. If the number seems too low to you or your doc., the pharmacy that can easily be appealed. More can usually get added to whatever the original number of strips.

As a beginner, newly diagnosed, the rule is likely going to be 4-6 (?) times per day, until you become entirely comfortable with the numbers you do get. That will take a meaningful amount of time before its only a number nothing to get cranky or excited about.

The number(s) you get, if you disbelieve, or do not think the number is "right", then feel free to retest.

But regardless of your number, the TRICK is NOT to get emotionally attached to them. 50 fine, 320 fine, no panic allowed regardless. Numbers can be wrong, because of temperature, humidity, something on your finger tips. No freaking out, regardless of what you get. Act when necessary, but be very conservative.

You'll get the hang of this… allow it time.