Truth be told, people who have diabetes several factors to worry about and it can get confusing at times. During my pharmacy career I realized that there are several factors that are confusing and have caused most people with diabetes to struggle in resolving them effectively.
I’ve identified six common problem areas and in this two-part article series I provided ways to resolve them:
Problem No. 1: “ I am on 3 mealtime insulin injections during the day and Lantus at night and I monitor my blood sugar once per day.”
Solution: If you are on insulin, then you need to monitor before every injection — in this case, four times daily. From the first injection to the last injection of the day, your blood sugar level may go up or down due to a variety of factors — food or beverages you consume or skip, the level of physical activity you do or don’t do, stress, sickness, alcohol or tobacco use. You need to know what your sugar level is before every insulin injection in order to adjust the insulin dose accordingly.
Problem No. 2: “ I take Metformin and Glyburide twice daily and I often skip breakfast because I am rushing to get work. When I skip breakfast, I sometimes skip my Glyburide dose to avoid my blood sugar from going down.”
Solution: The very basic way to keep your blood sugar in control is to have three balanced meals consisting of high-fiber carbs, lean protein and vegetables. In between meals, include some fruit and a small amount of nuts. Take your medications as prescribed and never make changes without consulting with your doctor or pharmacist.
Skipping your Glyburide dose will not rectify the situation but will keep your blood levels of Glyburide and blood sugar out of control. Try to preplan and not be caught off guard. Fiber One or Fiber Plus are excellent breakfast bar choices ideal to be consumed on the go and can be while you’re on your way to work. Each bar is around 140 calories and has 9 grams of fiber and a balance of fat, protein and carbohydrate. You could also grab a bottle of Glucerna shake for breakfast from the diabetic area of any pharmacy — it’s a balanced shake specially designed for people with diabetes.
Problem No. 3: “If I test my blood sugar before my mealtime insulin and it’s 60mg/dl, what should I do?”
Solution: Cut back one unit of your insulin dose and add 15 grams of high-fiber carbohydrate such as a slice of whole-grain bread, a small baked potato or a piece of fruit.
Small Actions of The Week:
- Test your blood sugar before every insulin injection.
- Don’t skip meals or snacks in order to keep your blood sugar under control.
- Don’t skip your medications or make any changes to your treatment before consulting with your doctor or pharmacist. If you are in a confusing situation regarding your medications, contact your local pharmacist and ask him or her for solutions.