how often are you testing your BG levels?

realsis77
By realsis77 Latest Reply 2012-06-19 14:47:14 -0500
Started 2010-08-24 12:25:04 -0500

Hi family! I was just wondering how often your doctors want you to test your BG? My doctor wants me testing 4 times a day! That just seems like a lot to me. I was curious what other people are testing? I am very blessed to have medicare cover my supplies if I send a log in proving I'm following the doctors orders with testing 4 times a day! I just wondered about what is the norm for testing? As everyone knows I'm a new diabetic and a new insulin shot giver :) I think because of the unstable numbers and had just been given injections to give myself might explain the frequent testing? What do you think? Thank you all for being my diabetic "family". You all mean a lot to me! Thank God for you all!


147 replies

red flower lady
red flower lady 2012-06-13 18:35:01 -0500 Report

Well, it depends on how many times you use insulin as well as how your bg numbers are running. If the bg numbers are high or you are feeling weird, which is probably a low happening then you'll need to check it more in order to get it back to normal.

Oneshotbandit
Oneshotbandit 2012-06-13 11:27:24 -0500 Report

I'm T2 (on Metformin once a day) & check once a day: Fast, 2 hrs aft BF, 2 hrs aft Lunch, 2 hrs aft Dinner & at Bed, then I repaeat the cycle. I ran out of strips once as I was experimenting & my Insurance did not pick up the co-pay so I just paid for them out of my pocket. Good luck and take care!

Sly Kitty
Sly Kitty 2012-06-12 09:19:52 -0500 Report

My doctor said to test 3 times a day and when I have a change in my insulin I test more often until my readings are consistant. The more you test the better control you will have of your diabetes. Good Luck

Degibu
Degibu 2012-06-12 07:41:09 -0500 Report

I'm not taking Insulin, however working the medical field, I would think that 4 times is the norm for someone who is Insulin dependent. Since you need to know what your glucose level so that you know what dosage of insulin to take.

Karen Kae
Karen Kae 2012-06-11 17:37:40 -0500 Report

I test 4 times a day; before meals and at bedtime. Medicare and my supplementary insurance pays for my testing supplies (thank goodness). I use the Novolog flexpen during the day and the Lantus flexpen at bedtime. I have a sliding scale to increase my dosage if my blood sugar is over a certain level. I am very well educated about my diabetes and very proactive with my care. I have a very good, open relationship with my primary care physician who handles my diabetes and he is also well educated on diabetes. I had a kidney transplant 1-1/2 years ago due to CKD (chronic kidney disease). The diabetes was not the primary cause of the diabetes. I was diagnosed with CKD just over 10 years ago and the diabetes a month later. My diabetes was very hereditary from my father's side and it very much under control. Luckily I received the transplant before I had to go on dialysis. Just keep in mind that everyone is a unique individual and treatment for one person will not be the same for everyone. It is imperative to have a good relationship with all of your medical team and to keep learning, asking questions, and know that you are the one in charge of your health.

msodos
msodos 2012-06-11 13:12:24 -0500 Report

Since diagnosis in 1996, I have always been instructed to test at least 4 times day, and I have done so. I think it is idiotic for Medicare to require a logic testing more than 3 times a day. I thin they should simply accept what the doctor prescribes. One letter from the doctor telling Medicare how many times you test should be enough. I am tired of insurance companies prescribing when they have not got clue one!

Caroltoo
Caroltoo 2012-06-11 15:19:55 -0500 Report

It's about cutting costs and micromanaging, not about maintaining health. Sorry to be so cynical, not my usual role, but insurance just infuriates me.

Type1Lou
Type1Lou 2012-06-11 12:30:05 -0500 Report

Since going on the pump last August, I am now testing an average of 7 times per day. (Lucky that my insurance RX plan covers a good chunk of the cost.) My A1c is back in the 6's but I want to get it closer to 6.5 (now 6.9). Basal pump levels seem to be where they should now…challenge continues to correctly calculate the carbs I eat and bolus accordingly.

MomH
MomH 2012-06-11 13:32:04 -0500 Report

If you find you cannot keep it controlled, ask the doctor about Victoza. My daughter is type 1 (26 years old) and she started on Victoza several months ago, in addition to her pump. She saw the endocrinologist a couple of weeks ago, and all he could say after looking at her graph was, "Beautiful, beautiful." Her A1C is below 6.

Type1Lou
Type1Lou 2012-06-11 16:58:08 -0500 Report

Those are great results! So far, I'm getting better results with my pump than I did with the multiple daily injections of Novolog and Lantus.

Lymy
Lymy 2011-01-03 23:50:44 -0600 Report

My internist started me off just once a day anytime I felt ill or 'different.' This went on for about two years. Then when I started to get some regularity to having elevated BS reading she put me on a regular schedule of checking it before I eat in the AM and two hours ppost prandal (After eating my evening meal. Four times a day is not an unreasinable number of times per day. I have a girlfriend who has too check her BS 6 x per day.

Jusssme
Jusssme 2011-01-03 22:36:28 -0600 Report

Per my doctor, twice a day, morning fasting and before bedtime. However, I'm new to all this so I test more often especially when I'm curious on what effect a particular food might have on my numbers.

Sly Kitty
Sly Kitty 2012-06-12 09:25:12 -0500 Report

Thank you; I find what carbs I eat and how much of it I eat has everything to do with my BS. This is why we test before and after meals and every few hours.

Vikicat
Vikicat 2011-01-03 20:55:29 -0600 Report

Twice a day first thing in morning and before bed. Sometimes more often if I feel bad or morning reads too high.

Khaos Faerie
Khaos Faerie 2011-01-03 18:32:04 -0600 Report

That's pretty good. I have to test 7 times per day. Though I'm also in preparation for getting an insulin pump.

chopi
chopi 2010-12-31 17:52:58 -0600 Report

I'm T2 and I was told to ck twice a day. Every morning and 2hours after lunch or dinner. But I some times do it 3-4 times a day just to stay on top of my BS numbers

Henderson64
Henderson64 2011-01-03 19:38:48 -0600 Report

I'm a T2 and test twice a day when my sugar level is ok and going fine. If I am out of wack I have to test 3 to 4 times a day. I know how my body feels now when I am low or high and that usually is a sign to test if needed to other then at normal times to test. I test in the morning and dinner always.

ConnieMarie
ConnieMarie 2011-01-03 19:28:52 -0600 Report

i am t2 but test 4 times daily - by doing this i have been able to be reduced in my meds and better able to use diet for control of it - if i keep it up the doctor said i may be able to stop all together with meds :)

MewElla
MewElla 2011-01-01 14:01:27 -0600 Report

Me too, T-2, Dr said 2xday, but most of the time I check before and after my excercise or if I am not feeling good.

Type1Lou
Type1Lou 2010-12-31 17:21:24 -0600 Report

Dear Realsis,
I am a type 1 and I test a MINIMUM of 4 times daily…sometimes more if I'm feeling my BG might be low, to verify before I treat for a low. Do you give yourself an insulin shot prior to each meal?… (I do). It's essential to know what your pre-meal BG is so you can dose properly for not only the carbs you'll be eating but taking into account where your BG is before you eat and inject. So, 4 times a day doesn't seem excessive to me. Also, if you are newly diagnosed, your doctor needs this information to determine what the correct dosages are for you. We all metabolize differently and may have a different scale of units of rapid insulin to carbs (right now, mine is 1u Novolog for each 12 grams of carbs eaten). Anyhow, hope things have stabilized for you since your original posting. Happy and Healthier New Year.

realsis77
realsis77 2010-12-31 21:28:46 -0600 Report

Hi I also test 4 times a day and had a few dose adjustments since this post but now I'm finally where I need to be. My numbers are good and my doses of my two different insulins are right where they should be! Thing are going smoothly now! Happy new year and I hope your year is blessed with good health!

jjhnpa
jjhnpa 2010-09-30 10:19:31 -0500 Report

i am type 2 and i test my sugar 4xs a day. i am on a sliding scale which i take my humalog and at night i take 32cc of lantus. i was diagnosed in july of this year.

Krista Marie
Krista Marie 2010-09-29 20:25:08 -0500 Report

I'm Type II, not on insulin, and was diagnosed in mid-August. I was testing about 3-4 times a day after I was released from the hospital, trying to figure out what different foods were doing to my BS. However, after meeting with my diabetes specialist, he said to only test once a day. As he put it, "I have to prick those fingers for the rest of my life." Perhaps that will change if I end up on insulin.

mo91108
mo91108 2010-09-29 17:18:31 -0500 Report

My doctor also has me testing 4 times a day since I got out of the hospital. before every meal, breakfast, lunch, & dinner. and at night when I am about to take my lantus. Good Luck and it will get easier testing so much a day

Best Wishes

- Monica

rlk-fd-ems
rlk-fd-ems 2010-09-24 20:45:48 -0500 Report

I have type 2 and on insulin Lantus (started on insulin about three months ago). The doctor has me testing my blood sugar three times a day on a rotating schedule. Every two to three weeks I fax the blood sugars to my CDE, if an adjustment in insulin is required she calls me.

hogrider37
hogrider37 2010-09-15 11:00:15 -0500 Report

Usually test twie a day, beofre a meal and 2 houirs after. And alternate the esting with a different meal each day. Sometimes before and after 2 meals depending on how Im feeling. I can tell when my level is high or low and then Ill check also. Ive been a type II for about 8 years. I never paid attention at first I guess denial, I'd take my meds when i felt like it. Then they said I had a TIA (mini stroke) thats hwen i finally became serious about it.

Armourer
Armourer 2010-09-13 19:15:28 -0500 Report

I test four times a day, usually. Sometimes more if sugar is feeling low. I need to test my BG to adjust insulin shot for each meal (baseline of 20 units Humilog under 150. 2 units for every 50 points above 150. Plus 1 unit of insulin for every 5 grams of carb). I was testing seven times a day, two hours after each meal to see what raised my BG and what didn't. When I finally got a handle on this I cut back to four times a day. Also take 100 units of Lantus, 50 morning, 50 evening.

AuntieBear
AuntieBear 2010-09-11 03:41:03 -0500 Report

I test 1 - 2 times a day. That is all my insurance will pay for. I usually only test once a day. My numbers are under control and don't bounce around too much as long as I behave in my food habits. The only other times I have high readings are if I am really stressed out or I am sick, then I test twice if needed. I am type 2.

Disnyrn
Disnyrn 2010-09-10 10:19:50 -0500 Report

Hi I also am newly diagnosed with diabetes and I test my sugars 4 times a day too I think it is because my levels are all over the place still. I have a hard time controling my BS due to the fact that I have been sick the past 6 weeks and illness can affect BS. I too have recently starting giving insulin shots on a sliding scale and I too am very lucky that I have health insurance that covers my supplies for a nominal fee. I see the doctor again next week and see what he has to say but I think because my numbers are still all over the place he will keep me on 4 times a day. I keep a log of date, times, and what my BS were each day. I try to do it around the same time each day. I hope this helps.

Dev
Dev 2010-09-08 15:16:38 -0500 Report

My husband used to check frequently when he was diagnosed. That gives you a sense of what is happening. If you are experimenting with foods it is useful to check before eating and after 2 hrs to see how you process a particular food item.
After you get a hang of the situation it is enough to check morning sugar and after the two big meals just to keep a tab.

My relatives back home (India) do not check at all. They go once in 3 months to check their overall progress. But the difference between how close a tab my husband keeps and how they manage their diabetes is so stark that I am a convert for checking 3 times a day.

sisson
sisson 2010-09-07 02:51:20 -0500 Report

When you first start most doctors want 6 times for 3months then after that 3 times some doctors . I need to start doing my more aging so I can keep up with my diet because that's what's it for it let you know if you should eat more or less or bring down your sugars before you eat. A little something before you eat your full meal.

Katsco
Katsco 2010-09-06 13:11:10 -0500 Report

I check about three to four times a day depending on my exercise level (whether or not I have done any) food changes or illness. I was diagnosed five years ago type 2. Since I went on insulin it is so much better…my doctor finally gave me a scale to go by that really helped. Fasting blood

Mr. Ed2
Mr. Ed2 2010-09-06 09:49:50 -0500 Report

My dr told me to check twice a day. I seldom check more often than this, when I do I have the "jitters" and do a check to see how low the BG is. I read several replies here and even though the topic is the frequency of checks, nobody mentions anything about EXERCISE! I go to a gym (it's too hot to do a good healthy walk here in FL country-especially in the summer) M-F and exercise about 45 minutes a day. The number is exercise minutes; not total time there!

Swbtab03
Swbtab03 2010-09-04 10:30:50 -0500 Report

I personally test about 6 times a day before and after I eat, especially if I change any type of food I eat, then I document it if it goes up any higher than the normal stuff I eat.
like for breakfast- I usually wake up with 88-101 numbers, then I eat a egg sandwich on weight watchers bread with sausage patty and my numbers go to about 140-149. So I watch things so as I do not go to high. But living in philly area- I love my cheese steaks- If I have one of them it goes to 170-190. But I only have them like twice a month.
For those folks with insurance issues- have your doctor change the testing to 6-8 times a day and you will have enough to make it through the month.

Hops
Hops 2010-09-04 08:51:42 -0500 Report

When diagnosed on 09/21/1968 I was instructed to test my urine sugar
four times a day. Then five years later BG Chem Strips were available. Again
four tests a day were recommended. Then around 1980 blood glucose meters were marketed. Still only four tests a day were recommended. I recall my doctor was most impressed that I would do so many blood glucose tests a day. By 1990 I had absolutely no symptoms of a insulin shock except for
my blood glucose tests or passing out. Since then I gave done at least six blood glucose tests and as many as eight to 12 tests daily when driving my car on a long road trip or traveling in a foreign country where carbohydrates
are never listed in foods.

twinnie
twinnie 2010-09-04 08:45:07 -0500 Report

I have been diagnosed with Type 2 for about a year now. I take Metformin once a day. I have been testing only for about 2 weeks now. The doctor wasn't too concerned that I test but I have been having bouts of low and high sugar. I have started to change the way I eat and that has been somewhat helpful. I need ideas of things to take for lunch at work.

Swbtab03
Swbtab03 2010-09-04 10:25:37 -0500 Report

What helps me is austin crackers or lance crackers( my two favorites)- it has 24 grams of carbs-but has high protein of peanut butter- and brings my numbers up a little bit. I was running low 80's recently I take metformin twice a day. Now I am in the 90's before meals.
Now I'm a freak with testing I Check about 6 times a day before and after everytime I eat.

NakitaPearl
NakitaPearl 2010-09-03 14:39:33 -0500 Report

I have been testing my blood sugar 4 times a day or more since I became a diabetic. I think it is dependent on a lot of factors, your history, your doctors preferences, your average blood sugar, etc. Testing is really the best way of knowing how foods are working in your body too. I have found that by keeping a log of what I eat along side my blood sugar scores really helps me to eliminate any foods which cause my blood sugars to increase too much. Each person is different and their body will react to foods and medications differently. So, do as your doctor advises and also keep a good log of what you're eating. God bless you and keep you.

Cyndi

vaehs_gram
vaehs_gram 2010-09-03 11:55:35 -0500 Report

I have been testing my blood 4 times a day for years. It really isn't a lot. I have to because my insulin levels tend to bounce around a lot. I finally have my levels somewhat under control. I take pills for my diabetes and also carry the gene which means there is a good chance my kids and grandchildren could be diabetic.

NakitaPearl
NakitaPearl 2010-09-03 14:41:55 -0500 Report

Mine bounce around too if I am not very careful to eat something every 4 hours, check my blood sugars and take my insulin when needed. I pray that your family does not end up with this horrible disease. Cyndi

Old youngster
Old youngster 2010-09-03 11:16:06 -0500 Report

For me, I just have to test in the morning and at bedtime, then whenever I eat. So sometimes I'm testing myself as many as ten times a day. Because I use Humolog and Lantus, I take insulin whenever I eat. For many new diabetics, I understand that their doctors want them to test numerous times to see how their levels are. It might seem like a pain, but in the end it will make life easier for you, so just hang in there.

nativity4me
nativity4me 2010-09-03 11:09:31 -0500 Report

my dr wanted me to do it only 2 times a day, but ive been doing it at least 3 times, sometimes more, just for a general read on my monitor.

my glucose was in the 400s last week and at 300somthign when they drew blood at the drs office.

i have 2 weeks to get it down to the low 200s, and im proud to report ive managed to drop it to 194 (as of yesterday evening)

im on JANUMET (januvia and metformin in one pill) seems to be working great!

and a read just now as u typed this was at 181..so its dropping well, id say.

:)

MICHELLE

oh yeah i test on my arm..i never feel a thing doing it there, and ive been testing myself for 4 years, 1st yearwas on the fingers and i stopped testing, next year i got another meter and they said you could test on your arm, been the best thing since sliced bread! lol

NakitaPearl
NakitaPearl 2010-09-03 14:46:19 -0500 Report

Congratulations on getting that blood sugar down Michelle. I have neuropathy (sp?) very badly so that it never hurts me to test my fingers. Also, I NEVER use alcohol to clean my fingers before testing them. It tends to dry them out and make them crack. I prefer to use good ole soap and warm water before testing. The meter really doesn't matter, it's the lancet that allows you to test on your arm. The meter manufacturers tell people this in order to get them to purchase their meters. Have a wonderful day. Cyndi

Paprika
Paprika 2010-09-02 23:15:22 -0500 Report

To realsis77: My doctor wants me to test my blood 3-4 times a day, and I have had diabetes 1 for 50 years. Also Medicare requires the testing also. Sometimes I have to send a 30 day list of my tests to the company who supplies my diabetic supplies because Medicare won't pay without it. They also need to see that you are doing the tests. Anyway, only the fingers hurt. Good luck realsis and take care of yourself.

milesrf
milesrf 2010-09-02 22:52:21 -0500 Report

I seldom test more than once a day now because that's all the strips my doctor prescribed. However, I've seen this web site saying that even type 2's should start out testing 8 times a day or more, in order to determine when your peak reading after meals occurs and how fast the level goes down afterwards.

http://alt-support-diabetes.org/new.php

Many of the type 2's on the newsgroup that gathered the information have achieved an A1C below 6.0%, largely through changing their diets in addition to medicines and exercise.

Once you determine the time of your peak value after meals, type 2's can start decreasing the number of times a day, but not decreasing it as much when testing the results of eating food that often digest faster or slower than usual, such as sugar and pizza.

Testing in the morning before you eat anything is good for showing your doctor how fast your type 2 is getting worse. However, testing at the peak time after meals is better for helping you control it with your diet.

Least
Least 2010-09-02 22:09:44 -0500 Report

Howdy!

I think it depends on whether you are Type II or Type I, Type I's in general test a lot more. I'm type one and my doctor has me checking as much as possible, right now its 12 times a day by my choice! More checking means tighter control, though once my levels settle into a better routine (adulthood instead of teen years) I do hope to cut it way down for my fingers sake! My A1C is 6.2 - 6.3 regularly, so it does help!

I am so very blessed to have insurance that covers this, but I know not everyone does! I don't know what I will do when it has to be cut back someday, but, I'm trusting God to provide when I get to that point. Just saying that the more one can check, within what is available, usually the better!

~Lauren

virigniagal
virigniagal 2012-06-11 11:57:13 -0500 Report

Glad you have insurance coverage! I got laid off and recently got COBRA but even with coverage buying test strips is over $100!!!!.
My doctor would like me to check in morning before breakfast and 2 hours after dinner but since $$ issue I usually just check pre breakfast

runthe
runthe 2010-09-02 20:56:47 -0500 Report

I was told to test twice a day because that all the county will pay for.

countrygirl59
countrygirl59 2010-09-04 10:06:11 -0500 Report

OMG that is terrible. Sound like they more worried about their money instead of ones health. WOW what is the world commin to

jason123
jason123 2010-09-03 05:03:20 -0500 Report

You are lucky. One of my freind goes to the governemnt clinic, at first they say you need to test once a day as that is all they will pay for. Then comes the economic downturn, he was told one need to test no more than once a week! and they had the msg came out of doctor's month instead of from the clinic administrator…I wonder what conclusion people draw? their dr can not be trusted?

sc1boy
sc1boy 2010-09-02 17:58:47 -0500 Report

mine wants me to test 6 to 8 times a day and I thought that was a lot until I found out why they wanted it. It is because they want to see how you are controling it before and after meals.

Sharpguy
Sharpguy 2010-09-02 17:54:35 -0500 Report

If you're insulin dependant, the more you test, the more accurate you can be with your insulin to gain control. Do waht you can afford and keep in touch with your friends that might have diabetes too. Many times in my life, my insurance company has changed my meter before I run out of test strips and my new one won't use the old strips. I donate them to a local Diabetes care chapter and they distribut them to those who can't afford to buy them. My doctors office does this too. You'll also need to learn about carbohydrates and how they affect your blood sugar so you can figure out whats causing it to rise and when. Good luck!

milesrf
milesrf 2010-09-02 22:30:02 -0500 Report

Are you aware that some meter companies even donate new meters to the doctors, since they make significantly more money selling strips repeatedly than selling the meters just once?

Some meter companies even give you the meter free if you buy enough of the matching strips.

vpickle
vpickle 2010-09-02 17:32:59 -0500 Report

the best way to maintain healthy blood sugar levels constantly is through testing, as much as you can. Now, I am a type 1 diabetic, so things are different, and I am on a pump, which means more testing than just on regular shots. I usually test between 5 and 7 times a day. (sometimes including night checks) I don't know what Type 2 should normally be doing, all I know is that when I test more often, not only am I in my target range almost 100% of the time, my insulin doses are smaller as well. And I'm not talking about just from not taking correction doses for high sugar levels, but just in general my doses are down. And that is a huge money saver for me. so, I totally understand the frequent testing and recommend it, but I am also not your doctor (although we do seem to be on the same side).

SFDennis
SFDennis 2010-09-02 14:33:38 -0500 Report

Realsis, I'm not a doctor, but it's my understanding that different diabetic types need to check BG levels differently. I am Type 2, and my doctor wants me to check only every other day—one time fasting, and the next after a meal. As a youngster, i had an aunt that was Type 1, and she had to check her BG AT LEAST 3 times a day (it could have been 4, I just don't remember, exactly). She, too, was on insulin, of course. So if your doctor said 4 times, assume he/she knows what they are talking about. Good luck.

Pamiekae
Pamiekae 2010-09-02 13:53:33 -0500 Report

Its strange but my doctor nor my mother's doctor has ever stated how often we should check. My mom's doctor didn't even mention the need to check when he informed her that she was diabetic. It wasn't until I asked about it that he got her a meter and some test slips. Her medicare isn't as nice as yours. They fought over her getting the test strips and didn't want to pay for them at all even though they had sent her a letter asking why she wasn't on medicine or using a meter. Go figure. I usually test twice a day. Once in morning and once a hour after eating last meal of day. Right now doctor says its out of control and guess I'm in denial, haven't tested in days because I don't want to know how bad it is .

retta 1
retta 1 2010-09-02 13:45:25 -0500 Report

hi realsis77,i have been a diabetic for 8 yrs and i test 3 times a day.the doc says only twice but no i say three times .i take actos and i give myself ashot of lantus at hs.hang in there ,my numbers still jump around to but rarely over 200.so just keep testing that is very important.come be my friend

roshy
roshy 2010-09-01 15:10:01 -0500 Report

Im testing four times a day !! maybe 6 if i feel like i nned to, for instance if i feel hypo!! i used to test four times a week which was a no no but sure we all learn from our mistakes!! I think once you get into a good routine your set, also depends on how nice your meter is, the multi clix is a really nice lancet device, pain free so its not as much of a hassle!!
If i were you id follow doctors orders, testing is the only way you can keep an eye on your sugars and its only 20 seconds out of your day !!

Best of luck !!

realsis77
realsis77 2010-09-02 11:46:25 -0500 Report

Yes I do follow doctors orders and I test as much as insurance will pay for. I can't afford to test more.

refusetobeordinary
refusetobeordinary 2010-08-31 12:03:17 -0500 Report

Hi,I'm new to this site.But have been dealing with diabetes for two years now.
I test 4-5 times a day.I take insulin ,so I feel I need to test at least that often.

scribbles
scribbles 2010-08-31 00:10:49 -0500 Report

Hi! I personally think I test too much right now, but my new Dr. is nervous about all my insulin and wants a 3 month record. I am testing:
1. before breakfast
2. 2 hours after
3. before lunch
4. 2 hours after
5. before supper
6. 2 hours after
7. bedtime
8. 3am.
REALLY messes with reality (life in general)
Which insulin I take when is mainly what she's checking and changing. I'll be glad when things get settled. I am a big fan of 'Routine".

Zolar1
Zolar1 2010-09-08 17:12:25 -0500 Report

I test just like you do, except for #8.
If I happen to be up in the wee hours of the morning, I sometimes do a spot check.

You also forgot to mention that you need to test right before exercise and 15 minutes after exercising. Best to test in the fingertips after exercising for more accurate results.

My doc said in the am, before each meal, and at bed time.
Why she didn't include the other tests I have no idea, but I test anyway.

I have Humalog Kwikpen to control the spikes. Apparently she must have been sleepy that day. How would I dose my bolus without knowing the blood sugars after eating for dose adjustment??

Usually, I am lucky enough to guess my dosage for a typical meal and take it at mealtime. Then 2 hours later, if I need more, I take it.

Btw: I was Dx Nov last year. Through my own diet and exercise scheme, I lost 60 pounds of body weight, blood sugars dropped quite a bit, and got my a1c down from 6.8 to 5.3 in 9 months - all without a single medication.

The only reason I got insulin is because my spikes kept jumping into the mid and upper 200's and I had trouble getting them back down.

Now, I think I fell in love with taking shots. It opened up a new world of eating and made my miserably dull diabetic regime more tolerable.

No fun eating and exercising then eating then exercising over and over day in day out. All I did was exist to do that. Now, with insulin, I can eat differently and not be a slave to the disease.

Of course, insulin is no good without watching what you eat and definitely worthless if you don't exercise regularly.

Kroger and Wal-Mart have the cheapest test strips. About $38.00 per 100 strips.
Meters cost about $10.

So, when my Rx runs out each month, I buy the cheap ones to supplement until the following month.

Not many diabetics I know can afford 300 one touch test strips a month out of pocket ($115.00/100 strips).

In most states, you can buy the old regular insulin without a prescription, syringes too.

For those without insulin and still have mealtime blood sugar problems, you might consider buying some regular insulin ($25.00/bottle).

Just be extremely cautious with it. You can easily kill yourself with an overdose.

You might want to start out with ONE UNIT, then as time goes on, you can adjust the dosage upward at one unit intervals.

Your doctor or pharmacist can tell you more info.
If you try this, I assume no responsibility.
It's just something I do from time to time if I know ahead of time that I would be eating really bad food like a piece of birthday cake or similar.

And you MUST have someone intelligent enough to watch you the first few times, testing every 1/2 hour to see how it works. The person with you needs to know what to do if there is a problem.

Note: for those who have high fasting numbers, you can buy NPH insulin over the counter in most states as well. That one is one shot a day, no more!
Then you can supplement with regular insulin if needed.

realsis77
realsis77 2010-09-02 11:39:29 -0500 Report

Wow I bet that helps you get a clear picture of what's going on! I'm only covered to test 4 times so that what's I have to do!

Gabby
GabbyPA 2010-08-31 10:10:17 -0500 Report

To be honest, this is the ideal way of testing we should all be doing. There does come a time when you can remove some of these tests, but they each are very important.
Your fasting (before breakfast) tells how you are doing at night
Postmeal (2 hours after each meal) tells how your food choices are working for you, if you have a big rise in levels meaning 40 or more, you need to change your choices.
Before meals gives you a benchmark to see what your meal does to you.
Bedtime lets you know where you are starting for the night.
The 3:00 AM one does mess things up, but it tells you if you are dropping or rising in the morning. Usually you do that in the beginning to learn what your body is doing. Since you are on insulin that is the time that you are prone to lows, so keeping an eye on things is helpful.

realsis77
realsis77 2010-08-31 07:09:22 -0500 Report

Yes that's a lot! Once she gets your insulin dialed in correctly maybe she will want you to test less. Thank you for shareing with me! :)

theladyiscrazy
theladyiscrazy 2010-08-30 14:36:39 -0500 Report

If I do it appropriately, I test at least four times a day up to six.

1. Fasting in the morning
2. Before Am Snack
3. Before Lunch (this sometimes is number two due to no snack)
4. Before PM snack
5. Before dinner

Sometimes I will do after exercise (which is a must for I do exercise).

Occasionally I will do before bed.

realsis77
realsis77 2010-08-31 07:12:28 -0500 Report

That's great that way you will really be able to tell how your bg responds to the exercise! I guess my tessting 4 times isn't really a lot after all! :)

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