MetalCohen

Q:

Should I be writing down all those numbers from my test results ? I trust my doctor to adjust my meds accordingly. Also, my daughter is in ice cream and cake mode. How do I explain that a simple dinner out would be better?

Patty Bonsignore

A:

I am often times asked by patients, “Do I still need to keep a log book? Can’t I just download the meter when I come to my appointment?” The answer is that a log book is still useful, whether it is an electronic or a paper one, because log books provide a bigger picture than just looking at one reading at a time in the meter. If one checks his or her blood glucose levels faithfully, but then never reviews the log, they are only getting half the picture. Writing down the numbers in a log book for several days in a row, particularly for 2 weeks before a doctor’s appointment, is the best way to get the most out of monitoring. Look at the blood glucose numbers for different times of day; for example, you could look at the numbers before breakfast and ask yourself whether they are too high, too low or in target.Do this for other times of day and then ask yourself. “Is there anything I can do about this?” Bring your log book to your doctor visits. Reviewing the results is called “pattern management,” and it’s not just the doctor’s job, but yours as well. As far as talking to your daughter about cakes and ice cream, it is best to just be honest. Let her know you are struggling with limiting your carbohydrates. Ask her if she has seen any low carb alternatives that she could provide for you. If she lives with you, try to buy no-sugar, low-carb deserts or fruit as an alternative to cake. If you are visiting her, bring your own desert or provide recipes for some lower-carb alternatives. Most people are understanding and will be happy to accommodate you as long as you are honest about it and help them be part of the solution.

December 10, 2012 at 10:12 am